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NPI Code Detail

MEDICARE: DR. ROBERT DANIEL ROSSER DPT

MEDICARE:  DR. ROBERT DANIEL ROSSER  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center5658OK

General Provider Information

NPI Number : 1508517772
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT DANIEL ROSSER DPT
Provider Business Mailing Address
First Line : 631 NW 16TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73103-2109
Country : US
Telephone Number : 903-818-4448
Fax Number :
Provider Business Practice Location Address
First Line : 519 NW 23RD ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73103-1545
Country : US
Telephone Number : 903-818-4448
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2022
Last Update Date : 01/10/2022

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Directions to “ DR. ROBERT DANIEL ROSSER DPT” Practice Location

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