Individual
KATIE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 WILLOW OAK DR, PRINCETON, WV 24739-8729
(412) 818-2618
Mailing address
405 WILLOW OAK DR, PRINCETON, WV 24739-8729
(412) 818-2618
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001231
VA
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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