Individual
MRS. ROBERTA BABCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
30 SPRINGCREST CT, GREENVILLE, SC 29607-4034
(864) 528-5547
(864) 528-5411
Mailing address
30 SPRINGCREST CT, GREENVILLE, SC 29607-4034
(864) 528-5547
(864) 528-5411
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2129
SC
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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