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Individual

MISS ROBERTA I NEELY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
1 CHOCTAW WAY, TALIHINA, OK 74571
(918) 423-8440
(918) 423-6889
Mailing address
1127 GEORGE NIGH EXPRESSWAY, MCALESTER, OK 74501
(918) 423-8440
(918) 423-6889

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2198
OK
225100000X
Physical Therapist
2198
OK

Other

Enumeration date
11/26/2007
Last updated
09/17/2024
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