Individual
LEISA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1509 4TH AVE, SCOTTSBLUFF, NE 69361-3242
(308) 632-7705
Mailing address
1509 4TH AVE, SCOTTSBLUFF, NE 69361-3242
(308) 632-7705
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
826
NE
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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