Individual
BRIAN MICHAEL ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10 WAMPANOAG AVE, WESTERLY, RI 02891-2033
(413) 441-2412
Mailing address
10 WAMPANOAG AVE, WESTERLY, RI 02891-2033
(413) 441-2412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01532
RI
225100000X
Physical Therapist
PT16301
MA
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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