Individual
MRS. ROBYN ABBOTT ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT,OT,
Contact information
Practice address
1904 LAKELAND DR, SUITE D, JACKSON, MS 39216-5038
(601) 942-2709
Mailing address
1904 LAKELAND DR, SUITE D, JACKSON, MS 39216-5038
(601) 942-2709
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
45OT073
MS
174400000X
Specialist
PT0987
MS
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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