Individual
JENNA MARIE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1127 PERSINGER RD SW, ROANOKE, VA 24015-3829
(540) 874-0082
Mailing address
P.O. BOX 21, 874 ROBERTS LN, BEDFORD, VA 24523
(540) 874-0082
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603342
VA
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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