Provider Demographics
NPI:1598985384
Name:ESKEW, ROBERT A (PT,MS,PCS)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:ESKEW
Suffix:
Gender:M
Credentials:PT,MS,PCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 NW 40TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-8418
Mailing Address - Country:US
Mailing Address - Phone:405-557-0829
Mailing Address - Fax:
Practice Address - Street 1:200 NW 40TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-8418
Practice Address - Country:US
Practice Address - Phone:405-557-0829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKPT1300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKPT1300OtherSTATE LICENSE NUMBER