Individual
MR. ROBERT CATLIN PENDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2301 BELL AVE, ELK CITY, OK 73644-2254
(405) 757-5694
Mailing address
525 N 2ND ST, WEATHERFORD, OK 73096-4403
(405) 757-5694
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2536
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H080765781
OKLAHOMA DRIVER'S LICENSE
OK
Enumeration date
05/21/2017
Last updated
05/21/2017
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