Individual
ROBERT TODD PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5110 S YALE AVE, STE 304, TULSA, OK 74135-7401
(918) 398-7400
(918) 398-7440
Mailing address
2234 W HOUSTON ST STE B, BROKEN ARROW, OK 74012-3519
(918) 259-1888
(918) 251-3725
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1699
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100658250B
—
OK
Enumeration date
04/05/2006
Last updated
04/30/2015
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