James Wayne Robertson, PTA

NPI #1194840884 in Ardmore, Oklahoma

Provider Information

NPI Number: 1194840884
Entity Type: Individual
Name: James Wayne Robertson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: PTA
Enumeration Date: Mar 20, 2007
Last Updated: May 12, 2015

Practice Location

Address: 1405 4TH AVE NW # 296
City: Ardmore
State: Oklahoma
ZIP Code: 73401-2708
Phone: (580) 795-4561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X
Occupational Therapist	225X00000X	Primary

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