Individual
MS. MARY J ROBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
8969 PARK DR, RALSTON, NE 68127-3663
(402) 331-7373
Mailing address
4111 R ST, OMAHA, NE 68107-3122
(402) 733-0457
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
21
NE
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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