Individual
BRIAN JAMES ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
E130955
CA
225100000X
Physical Therapist
Primary
40QA02305200
NJ
2255A2300X
Athletic Trainer
25MT00270700
NJ
Other
Enumeration date
09/22/2017
Last updated
11/25/2024
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