Individual
VANESSA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
440 MERCHANT DR, NORMAN, OK 73069-6470
(405) 809-8710
(405) 573-6768
Mailing address
14890 SE 29TH ST, CHOCTAW, OK 73020-3515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4685
OK
Other
Enumeration date
07/19/2014
Last updated
07/19/2014
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