Individual
CHRISTIAN ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
108 RUE LOUIS XIV, LAFAYETTE, LA 70508-5739
(985) 498-9475
Mailing address
304 PAPPA JOE DR, BROUSSARD, LA 70518-4953
(985) 498-9475
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
304397
LA
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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