Individual
AMBERLY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 AUSTIN GRAYBILL RD, NORTH AUGUSTA, SC 29860-9251
(803) 278-4272
Mailing address
720 KENSEY PARK LN, GROVETOWN, GA 30813-4242
(405) 308-2571
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA4946
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA4946
SOUTH CAROLINA BOARD OF OCCUPATIONAL THERAPY
SC
Enumeration date
03/25/2019
Last updated
03/25/2019
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