Individual
LAURA ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 11TH ST SE, DECATUR, AL 35601-4989
(256) 351-1100
Mailing address
1607 LAKE POINTE DR SW, DECATUR, AL 35603-4447
(256) 566-6225
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTH4489
LICENSE #
AL
Enumeration date
09/06/2006
Last updated
07/08/2007
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