Individual
DAVID ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1 WIDGER RD, MARBLEHEAD, MA 01945-2146
(781) 631-8250
(781) 639-2060
Mailing address
1 WIDGER RD, MARBLEHEAD, MA 01945-2146
(781) 631-8250
(781) 639-2060
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3452
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0344346
—
MA
01
—
Y65129
BCBS
MA
Enumeration date
12/01/2005
Last updated
12/06/2010
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