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NPI Code Detail

MEDICARE: DR. DEBORAH ANN ROBERTS-WARRIOR PT, PHD

MEDICARE: DR. DEBORAH ANN ROBERTS-WARRIOR PT, PHD
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
1225100000XPhysical Therapist462OK

General Provider Information

NPI Number : 1598983041
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEBORAH ANN ROBERTS-WARRIOR PT, PHD
Provider Business Mailing Address
First Line : 424 SW 99TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73139-8911
Country : US
Telephone Number : 405-794-0927
Fax Number : 405-735-5225
Provider Business Practice Location Address
First Line : 6525 N MERIDIAN AVE
Second Line : SUITE 311
City : OKLAHOMA CITY
State : OK
Zip : 73116-1420
Country : US
Telephone Number : 405-721-1115
Fax Number : 405-721-2025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2007
Last Update Date : 07/08/2007

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