Individual
BRENDA SUE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 2ND AVE NW, REFORM, AL 35481
(205) 375-2465
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
37693
AL
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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