Individual
JAMILA IFE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3109 E BRISTOL ST, ELKHART, IN 46514-4372
(574) 330-4004
Mailing address
58564 BROADWAY BLVD, ELKHART, IN 46516-6238
(574) 214-6040
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004225A
IN
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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