Individual
STEPHANIE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 MARK TREE RD, CENTEREACH, NY 11720-2221
(631) 467-4235
Mailing address
17 CLOVER MEADOW CT, HOLTSVILLE, NY 11742-2567
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
051002
NY
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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