Organization
TYPE 1 PROVIDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY ROBERSON PTA (SOLE PROPRIETOR)
(785) 979-2145
Entity
Organization
Contact information
Practice address
2520 CRESTLINE PL, LAWRENCE, KS 66047-2865
(785) 979-2145
Mailing address
2520 CRESTLINE PL, LAWRENCE, KS 66047-2865
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2013
Last updated
10/07/2013
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