Anna Elizabeth Rousseau-denton PTA

NPI 1750564654 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1750564654
Gender Female
Enumeration Date 12/13/2007
Last Updated 10/26/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
2111 RIVERWALK DR
MOORE OK, 73160-2700, US
Phone (405) 793-7885
Fax (405) 793-7893
Business Location
1324 SW 118TH PL
OKLAHOMA CITY OK, 73170-4420, US
Phone (405) 691-7362
Fax
Toxanomy
Taxonomy Code 225200000X
License State Oklahoma
License Number 73
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According to our database, Ms. Anna Elizabeth Rousseau-denton PTA NPI is 1750564654, taxonomy code is 225200000X and license number is 73, license state is located at Oklahoma. Anna Elizabeth Rousseau-denton PTA physically located at 2111 Riverwalk Dr, Moore OK, 73160-2700. NPI Number Anna Elizabeth Rousseau-denton PTA has the Individual type.

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1750564654 NPI number is provided on an as is basis without warranty of any kind. 1750564654 is maintained by the National Plan & Provider Enumeration System. The contents of Anna Elizabeth Rousseau-denton PTA are for informational purposes only.