Individual
GINA A. ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
(502) 596-7300
Mailing address
100 CASTLEWOOD DR, RICHMOND, KY 40475-8860
(859) 893-0921
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
R1038
KY
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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