Individual
REBECCA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
78-6831 ALII DR STE 420, KAILUA KONA, HI 96740-5403
(808) 498-4144
Mailing address
905 TRAMWAY LN NE, ALBUQUERQUE, NM 87122-1309
(847) 736-5586
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070023389
IL
225100000X
Physical Therapist
62972
OR
225100000X
Physical Therapist
Primary
PT-4817
HI
225100000X
Physical Therapist
PT-5172
ID
225100000X
Physical Therapist
PT60890372
WA
Other
Enumeration date
02/13/2019
Last updated
02/04/2020
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