Individual
ROBERT PAUL ROULEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, OCS, FAAOMPT
Contact information
Practice address
4720 CLEVELAND HEIGHTS BLVD, SUITE 101, LAKELAND, FL 33813-2243
(863) 644-0007
(863) 644-3377
Mailing address
4518 HALLAM HILL LN, LAKELAND, FL 33813-1808
(863) 644-0007
(863) 644-3377
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT10876
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y92222
BCBS
FL
Enumeration date
03/10/2006
Last updated
11/20/2007
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