Individual
HUNTER KRISTIAN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
701 S MAIN ST, BROKEN ARROW, OK 74012-5528
(918) 259-5784
(918) 251-0689
Mailing address
27427 E 109TH ST S, COWETA, OK 74429-3442
(918) 618-3873
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3354
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669580502
—
OK
Enumeration date
07/15/2021
Last updated
07/15/2021
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