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Individual

DOUGLAS ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
923 E CENTRAL AVE, LA FOLLETTE, TN 37766-2768
(423) 907-1200
Mailing address
923 E CENTRAL AVE, LA FOLLETTE, TN 37766-2768

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10951
TN

Other

Enumeration date
11/30/2016
Last updated
11/30/2016
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