Individual
ANDRAEL CHANTAL ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6002 N OAK STREET EXT, VALDOSTA, GA 31605-1188
(229) 949-2952
Mailing address
70 RICHARDS DR APT 68, TIFTON, GA 31794-3037
(904) 894-7097
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OTA002737
GA
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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