Individual
MS. CONNIE ALLENE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2415 MCCALLIE AVE, CHATTANOOGA, TN 37404-3322
(423) 624-2696
(423) 697-2025
Mailing address
2415 MCCALLIE AVE, CHATTANOOGA, TN 37404-3322
(423) 624-2696
(423) 697-2025
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
TN0000001866
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0088962
BLUE CROSS/ BLUE SHIELD
TN
01
—
TN0120
JOHN DEERE
TN
Enumeration date
06/21/2006
Last updated
01/29/2020
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