Stormy R Deaton

NPI #1972757136 in Grove, Oklahoma

Provider Information

NPI Number: 1972757136
Entity Type: Individual
Name: Stormy R Deaton
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Nov 13, 2008
Last Updated: Nov 13, 2008

Practice Location

Address: 62531 E 252 RD
City: Grove
State: Oklahoma
ZIP Code: 74344-7462
Phone: (918) 961-8067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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