Individual
JASON L. ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
600 FONTANA BLVD # D, HAVELOCK, NC 28532-3104
(252) 444-5600
(252) 444-8966
Mailing address
302 HOGAN RD, NEW BERN, NC 28560-9483
(252) 447-1372
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0813
NC
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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