Provider Demographics
NPI:1750606919
Name:DELALOYE ROBINSON, ANNA LUCILE (MSPT)
Entity type:Individual
Prefix:MS
First Name:ANNA
Middle Name:LUCILE
Last Name:DELALOYE ROBINSON
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:MS
Other - First Name:ANNA
Other - Middle Name:LUCILE
Other - Last Name:DELALOYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:8011 S SHERIDAN RD UNIT B
Mailing Address - Street 2:SQUARE ONE SHOPPING CENTER
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-8950
Mailing Address - Country:US
Mailing Address - Phone:918-481-3390
Mailing Address - Fax:918-481-3510
Practice Address - Street 1:8011 S SHERIDAN RD UNIT B
Practice Address - Street 2:SQUARE ONE SHOPPING CENTER
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-8950
Practice Address - Country:US
Practice Address - Phone:918-481-3390
Practice Address - Fax:918-481-3510
Is Sole Proprietor?:No
Enumeration Date:2010-03-31
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2597225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist