Individual
CARA RENEE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6763 AUBURN LN, PLAINFIELD, IN 46168-7311
(173) 691-3667
Mailing address
6763 AUBURN LN, PLAINFIELD, IN 46168-7311
(173) 691-3667
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002785A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043588692
THERAPY STAFF NPI
IN
Enumeration date
05/06/2019
Last updated
05/06/2019
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