Individual
REGINA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
772 LINCOLN AVE, ALAMEDA, CA 94501-3314
(510) 499-7113
Mailing address
772 LINCOLN AVE, ALAMEDA, CA 94501-3314
(510) 499-7113
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9640
CA
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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