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Individual
MICHELLE ROBERTSON
Active
Individual
MICHELLE ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P5385
NC
2251P0200X
Pediatric Physical Therapist
P5385
NC
261QP2000X
Physical Therapy Clinic/Center
P5385
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211650
—
NC
Enumeration date
07/24/2006
Last updated
06/14/2010
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