Individual
LAURA LOUISE ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC/L
Contact information
Practice address
5990 S. VAL VISTA RD, CHANDLER, AZ 85249
(480) 224-2213
Mailing address
6121 S WILSON DR, CHANDLER, AZ 85249-4974
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0622
AZ
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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