Individual
KEVIN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1401 W PAWNEE ST, CLEVELAND, OK 74020-3033
(918) 358-2501
Mailing address
1401 W PAWNEE ST, CLEVELAND, OK 74020-3033
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4048
OK
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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