Individual
MRS. REBECCA SUE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6201 W OLIVE AVE APT 3049, GLENDALE, AZ 85302-4532
(479) 212-0700
Mailing address
6201 W OLIVE AVE APT 3049, GLENDALE, AZ 85302-4532
(479) 212-0700
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10379
AZ
225200000X
Physical Therapy Assistant
2450
AR
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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