Individual
DANIEL THOMAS ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
168 MASSACHUSETTS AVE # SS 2890, BOSTON, MA 02115-3010
(302) 632-3432
Mailing address
168 MASSACHUSETTS AVE # SS 2890, BOSTON, MA 02115-3010
(302) 632-3432
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8182
MA
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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