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Individual

ROBIN COUNCIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
19112 E 480 RD UNIT A, CLAREMORE, OK 74019-4005
(918) 574-5990
Mailing address
19112 E 480 RD UNIT A, CLAREMORE, OK 74019-4005
(918) 574-5990

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1656
OK

Other

Enumeration date
07/30/2025
Last updated
07/30/2025
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