Individual
CORRINE ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1908 S 108TH EAST AVE, TULSA, OK 74128-6226
(918) 630-0609
Mailing address
1908 S 108TH EAST AVE, TULSA, OK 74128-6226
(918) 630-0609
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
—
OK
226300000X
Kinesiotherapist
Primary
—
OK
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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