Edward Eugene House III, PTA

NPI #1154135697 in Pocola, Oklahoma

Provider Information

NPI Number
1154135697
Entity Type
Individual
Name
Edward Eugene House III, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Feb 5, 2025
Last Updated
Feb 5, 2025

Practice Location

Address
905 FULLER AVE # C
City
Pocola
ZIP Code
74902-2212
Phone
(479) 719-5915

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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