Individual
BRIAN JAMES ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1045 RIVERSIDE AVE STE 190, JACKSONVILLE, FL 32204-4189
(904) 647-4284
Mailing address
130 5TH AVE N, JACKSONVILLE BEACH, FL 32250-7041
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
30588
FL
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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