Individual
MIKAYLA GRACE REGISTER ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14 LITTLEJOHN GLEN CT, GREENVILLE, SC 29615-5791
(864) 288-2998
(864) 288-3522
Mailing address
14 LITTLEJOHN GLEN CT, GREENVILLE, SC 29615-5791
(864) 288-2998
(864) 288-3522
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10698
SC
Other
Enumeration date
06/02/2021
Last updated
03/09/2022
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