Individual
KRISTIE DAWN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S WATAUGA AVE, ELIZABETHTON, TN 37643-3546
(423) 542-6512
Mailing address
105 BEECH LN, ROAN MOUNTAIN, TN 37687-3383
(423) 943-8673
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3726
TN
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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