Individual
EMERSON WAYNE ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1224 CORVADURA ST, GRAHAM, TX 76450-4355
(940) 549-4646
Mailing address
9001 FM 920, WEATHERFORD, TX 76088-2224
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2122580
TX
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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