Individual
SANDRA MITCHELL ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
511 WINDMILL ST, WALNUT COVE, NC 27052-7706
(336) 591-7357
Mailing address
511 WINDMILL ST, WALNUT COVE, NC 27052-7706
(336) 591-7357
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2520
NC
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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