Individual
KENTARIA SHANTELL ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1128 EAST DERENNE AVE, SAVANNAH, GA 31406
(912) 231-7900
Mailing address
100 E DEER CT, MIDWAY, GA 31320-3220
(912) 996-8055
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004881
GA
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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