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Individual
JODY S. ROBESON
Active
Individual
JODY S. ROBESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1159443
TX
225100000X
Physical Therapist
Primary
1159443
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1159443
STATE LICENSE
TX
Enumeration date
06/09/2006
Last updated
06/12/2012
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