Individual
GREGORY LEE ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 BENEDUM DR, BRIDGEPORT, WV 26330-1503
(304) 842-9887
(304) 842-9888
Mailing address
415 BENEDUM DR, BRIDGEPORT, WV 26330-1503
(304) 842-9887
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003284
WV
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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