Individual
JASMINE ELISE ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4616 NE STALLINGS DR, NACOGDOCHES, TX 75965-1608
(936) 569-5600
Mailing address
202 VILLAGE ST, HENDERSON, TX 75654-4528
(903) 646-0372
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2140422
TX
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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