Individual
KYLIE ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2021 MAHANEY AVE STE 6, TAHLEQUAH, OK 74464-5795
(918) 458-5119
Mailing address
PO BOX 721628, NORMAN, OK 73070-8250
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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