Individual
MRS. JESSICA R ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7325 N 106TH AVE, OMAHA, NE 68122-1557
(402) 499-8653
Mailing address
7406 N 77TH AVE, OMAHA, NE 68122-1680
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
498N
NE
Other
Enumeration date
10/09/2007
Last updated
02/26/2019
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