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Individual
EMILY ROBERTS
Active
Individual
EMILY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1495
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138813721
—
AR
01
—
5W455
BLUE CROSS BLUE SHIELD
AR
Enumeration date
04/26/2006
Last updated
08/12/2019
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