Provider Demographics
NPI:1467851964
Name:ROBISON-TROXELL, MONIQUE (DPT)
Entity Type:Individual
Prefix:
First Name:MONIQUE
Middle Name:
Last Name:ROBISON-TROXELL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MONIQUE
Other - Middle Name:
Other - Last Name:ROBISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10290 S BRUSHY RD
Mailing Address - Street 2:
Mailing Address - City:MILBURN
Mailing Address - State:OK
Mailing Address - Zip Code:73450-8200
Mailing Address - Country:US
Mailing Address - Phone:214-435-9200
Mailing Address - Fax:
Practice Address - Street 1:2011 W BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:SULPHUR
Practice Address - State:OK
Practice Address - Zip Code:73086-4221
Practice Address - Country:US
Practice Address - Phone:580-622-2161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-20
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1246216225100000X
OK5058225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist