Individual
JESSIKA DANIELLE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
936 US HIGHWAY 72 E, ATHENS, AL 35611-4318
(256) 230-1252
(256) 230-1256
Mailing address
1200 CORPORATE DR STE 400, BIRMINGHAM, AL 35242-5424
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2-0803
AL
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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