Healthcare Provider Details

I. General information

NPI: 1598985384
Provider Name (Legal Business Name): ROBERT A. ESKEW P.T.,M.S.,P.C.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 NW 40TH ST
OKLAHOMA CITY OK
73118-8418
US

IV. Provider business mailing address

200 NW 40TH ST
OKLAHOMA CITY OK
73118-8418
US

V. Phone/Fax

Practice location:
  • Phone: 405-557-0829
  • Fax:
Mailing address:
  • Phone: 405-557-0829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT1300
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: