Individual
DR. TERESA BLAKE ROBERTSON ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
120 GRANDVIEW AVE, BREVARD, NC 28712-4727
(678) 641-9005
Mailing address
120 GRANDVIEW AVE, BREVARD, NC 28712-4727
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
P19176
NC
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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