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PATRICIA (TRISHA) BETTY ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
24 HOLLYWOOD BLVD SW STE 7, FORT WALTON BEACH, FL 32548-4893
(850) 226-7411
(850) 226-7496
Mailing address
24 HOLLYWOOD BLVD SW STE 7, FORT WALTON BEACH, FL 32548-4893
(850) 226-7411

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
33400
FL
2251P0200X
Pediatric Physical Therapist
05001208A
IN
2251P0200X
Pediatric Physical Therapist
Primary
33400
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1053526152
FL
Enumeration date
05/11/2007
Last updated
04/02/2020
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