Bailey Shomo, PTA

NPI #1912373127 in Durant, Oklahoma

Provider Information

NPI Number
1912373127
Entity Type
Individual
Name
Bailey Shomo, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Aug 11, 2015
Last Updated
Aug 11, 2015

Practice Location

Address
523 W MAIN ST
City
Durant
ZIP Code
74701-5009
Phone
(580) 924-7700

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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