Individual
DR. JACOB BENJAMIN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1542 ELK CREEK DR, SUITE B, IDAHO FALLS, ID 83404-8322
(208) 521-7336
Mailing address
1169 WASHBURN AVE, IDAHO FALLS, ID 83402-1607
(208) 521-7336
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT - 2217
ID
Other
Enumeration date
06/12/2007
Last updated
07/31/2007
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