Individual
TENEESHIA S ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ARCH ST # 1, WATERVLIET, NY 12189-1805
(518) 977-9470
Mailing address
1 ARCH ST, WATERVLIET, NY 12189-1805
(518) 977-9470
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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