Individual
ROBERTA H CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4647
AL
225100000X
Physical Therapist
5181
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00071345C
PEACH STATE
GA
05
—
00071345C
—
GA
Enumeration date
11/16/2006
Last updated
07/09/2007
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