Individual
BENJAMIN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
183 S ATLANTIC AVE, COCHRANTON, PA 16314-8605
(814) 758-7322
Mailing address
183 S ATLANTIC AVE, COCHRANTON, PA 16314-8605
(814) 758-7322
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
PA
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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