Individual
CAILEIGH ELIZABETH ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, PA-C
Contact information
Practice address
11110 MEDICAL CAMPUS RD STE 143, HAGERSTOWN, MD 21742-6755
(301) 714-4350
Mailing address
742 ACROPOLIS WAY APT 305, FREDERICK, MD 21703-2275
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
C08029
MD
363A00000X
Physician Assistant
Primary
PA9118239
FL
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/22/2017
Last updated
12/05/2023
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