Individual
TELISHA KELLY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
12001 IRON BRIDGE RD, CHESTER, VA 23831-1460
(804) 706-1023
Mailing address
1 PARK WEST CIR STE 108, MIDLOTHIAN, VA 23114-5552
(804) 419-1536
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000076
VA
225700000X
Massage Therapist
0019009488
VA
Other
Enumeration date
08/25/2009
Last updated
01/17/2025
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