Individual
STEPHANIE A ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1965 MATUNUCK SCHOOL HOUSE RD, WAKEFIELD, RI 02879-6144
(401) 286-8324
Mailing address
1965 MATUNUCK SCHOOL HOUSE RD, WAKEFIELD, RI 02879-6144
(401) 286-8324
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000747
CT
225200000X
Physical Therapy Assistant
PTA00184
RI
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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