Individual
JAMES WAYNE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1405 4TH AVE NW # 296, ARDMORE, OK 73401-2708
(580) 795-4561
(580) 226-5567
Mailing address
1405 4TH AVE NW # 296, ARDMORE, OK 73401-2708
(580) 795-4561
(580) 226-5567
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
1517
OK
225X00000X
Occupational Therapist
Primary
1924
OK
Other
Enumeration date
03/20/2007
Last updated
05/12/2015
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