Penny, Sam Vale

Penny, Sam Vale is an sole proprietor health care provider with primary practice located at 1601 Academy Rd , Ponca City OK 74604-4409. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Penny, Sam Vale can be contacted via phone (580) 762-0927.

Contact Information

Primary practice address
1601 Academy Rd Ponca City OK 74604-4409
Phone: (580) 762-0927
Fax: (580) 762-0933
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 675 Oklahoma

Profile Details

NPI number 1528303872
LBN Legal business name Penny, Sam Vale
Credentials LPTA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2012
Last updated Nov 27th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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