Individual
MR. DONALD BRIAN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.,ATC
Contact information
Practice address
13691 BENSON AVE, CHINO, CA 91710
(909) 628-4141
(909) 628-4242
Mailing address
1706 AUTUMNGLOW DR, DIAMOND BAR, CA 91765
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
785-637
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
785-637
N.A.T.A.
CA
Enumeration date
10/03/2006
Last updated
07/08/2007
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