Individual
MR. SHANE EDWARD ROBBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
920 S MAIN ST, NEW LEXINGTON, OH 43764-1552
(740) 342-5161
Mailing address
8030 OAK HILL RD NE, BREMEN, OH 43107-9769
(740) 503-2001
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
07400
OH
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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