Individual
EDWARD ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18134 GARVIN AVE, PORT CHARLOTTE, FL 33948-1914
(617) 653-6308
Mailing address
18134 GARVIN AVE, PT CHARLOTTE, FL 33948-1914
(617) 653-6308
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA76208
FL
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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