Healthcare Provider Details

I. General information

NPI: 1467851964
Provider Name (Legal Business Name): MONIQUE ROBISON-TROXELL D.P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MONIQUE ROBISON

II. Dates (important events)

Enumeration Date: 08/20/2014
Last Update Date: 02/09/2023
Certification Date: 02/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2011 W BROADWAY AVE
SULPHUR OK
73086-4221
US

IV. Provider business mailing address

10290 S BRUSHY RD
MILBURN OK
73450-8200
US

V. Phone/Fax

Practice location:
  • Phone: 580-622-2161
  • Fax:
Mailing address:
  • Phone: 214-435-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1246216
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5058
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: