Provider Demographics
NPI:1093925984
Name:DOBLER, JOHN MARTIN (PT)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:MARTIN
Last Name:DOBLER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 HEATHER GLEN TER
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-7631
Mailing Address - Country:US
Mailing Address - Phone:405-310-3492
Mailing Address - Fax:
Practice Address - Street 1:920 HEATHER GLEN TER
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-7631
Practice Address - Country:US
Practice Address - Phone:405-310-3492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK588225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist