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Individual
MRS. HADASSA ROBERTS
Active
Individual
MRS. HADASSA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21301
MD
225100000X
Physical Therapist
2305203763
VA
225100000X
Physical Therapist
PT870629
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21301
MARYLAND LICENSE
—
01
—
2305203763
VIRGINIA LICENSE
—
01
—
46950034
CAREFIRST NCA
—
01
—
PT870629
DC LICENSE
—
Enumeration date
11/02/2008
Last updated
02/09/2011
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