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Edward House, PTA

NPI 1154135697 · on the registry since 2025 · sole proprietor

Practice

Address
905 Fuller Ave # C
Pocola, OK 74902
Phone
(479) 719-5915

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-02-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma