Individual
TAMMY JEAN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
750 N SOCORA ST, WICHITA, KS 67212-3793
(316) 462-7732
(316) 462-2276
Mailing address
466 PAMELA ST, WICHITA, KS 67212-3784
(316) 722-7798
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02569
KS
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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