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Individual

SANDRA ROBERTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
2221 W DETROIT ST, BROKEN ARROW, OK 74012-3628
(918) 615-6492
Mailing address
2221 W DETROIT ST, BROKEN ARROW, OK 74012-3628
(918) 615-6492

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1253
OK

Other

Enumeration date
06/20/2012
Last updated
06/20/2012
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