Individual
MS. AUDREY LYNETTE ROBERTS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5 BON AIR RD, SUITE A105, LARKSPUR, CA 94939-1143
(415) 927-2007
(415) 927-7272
Mailing address
2222 LEAVENWORTH ST, #402, SAN FRANCISCO, CA 94133-2252
(415) 441-2220
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT22384
CA
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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