Individual
MRS. JOELLE MIRANDA ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., P.T.
Contact information
Practice address
98 N ELLICOTT ST, WILLIAMSVILLE, NY 14221-5535
(716) 631-0215
Mailing address
98 N ELLICOTT ST, WILLIAMSVILLE, NY 14221-5535
(716) 631-0215
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
011750
NY
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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