Individual
DEBBIE ANN ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5039 PARK AVE, SUITE 102, MEMPHIS, TN 38117-5701
(901) 818-9746
(901) 818-9741
Mailing address
5039 PARK AVE, SUITE 102, MEMPHIS, TN 38117-5701
(901) 818-9746
(901) 818-9741
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00001232
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4043585
PROVIDER (INDIVIDUAL #)
TN
Enumeration date
01/02/2007
Last updated
01/17/2014
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