Individual
OMEGA ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1109 E POLSTON AVE, POST FALLS, ID 83854-6045
(208) 777-4000
(208) 777-4033
Mailing address
1109 E POLSTON AVE, POST FALLS, ID 83854-6045
(208) 777-4000
(208) 777-4033
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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