Individual
MISS LESLIE HEIDI ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
121 N GOLIAD ST, AMARILLO, TX 79106-5309
(806) 576-6963
Mailing address
121 N GOLIAD ST, AMARILLO, TX 79106-5309
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2114555
TX
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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