Individual
ONI TWANISHA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.C.T.M.B, L.N.M.T.
Contact information
Practice address
160 CLAIREMONT AVE STE 200, DECATUR, GA 30030-2546
(404) 348-0454
Mailing address
160 CLAIREMONT AVE STE 200, DECATUR, GA 30030-2546
(404) 348-0454
(404) 518-6496
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT000896
GA
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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