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Individual

SANDRA JOAN ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN, PT

Contact information

Practice address
83 DEWEY ST, PRESTONSBURG, KY 41653-7923
(606) 886-9888
(606) 886-9416
Mailing address
348 HORNE BR, PO BOX 910, STAFFORDSVILLE, KY 41256-9070
(606) 297-6658

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002279
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
87001467
KY
Enumeration date
11/17/2005
Last updated
11/07/2007
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