Individual
MISS TRACY ANNE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1010 LONGVIEW RD, MISSOURI VALLEY, IA 51555-1227
(712) 642-4700
Mailing address
1010 LONGVIEW RD, MISSOURI VALLEY, IA 51555-1227
(712) 642-4700
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001528
IA
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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