Individual
MONICA ROBERTS
Active
Individual
MONICA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6355
AZ
2251P0200X
Pediatric Physical Therapist
6355
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
941014
—
AZ
Enumeration date
12/14/2006
Last updated
08/17/2016
Update your record
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