Individual
MRS. DEBRA WOOD ROBERTS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10721 SMETANA RD, SUITE 220, MINNETONKA, MN 55343-8080
(952) 936-9215
(952) 936-9942
Mailing address
59 BIRCHWOOD RD, MAHTOMEDI, MN 55115-1824
(651) 429-6997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1588
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12859RO
BC/BS
MN
01
—
64-11028
MEDICA
MN
01
—
HP 31033
HEALTH PARTNERS
MN
Enumeration date
10/21/2005
Last updated
07/08/2007
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