Individual
TYLER AUSTIN ROLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
356110 E 930 RD, STROUD, OK 74079-5184
(918) 968-9531
(918) 968-1532
Mailing address
356110 E 930 RD, STROUD, OK 74079-5184
(918) 968-9531
(918) 968-1532
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4708
OK
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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