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Individual

CARMEN ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT/L, CHT

Contact information

Practice address
810 W ANTHONY DR, URBANA, IL 61802-7431
(217) 326-2900
(217) 326-2996
Mailing address
611 W PARK ST, URBANA, IL 61801-2500
(217) 326-2911
(217) 326-2996

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056002127
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
113326
HEALTHLINK
IL
01
203
BLUE CROSS
IL
01
4117
HEALTH ALLIANCE
IL
01
7216
PERSONAL CARE
IL
Enumeration date
05/06/2008
Last updated
05/06/2008
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