Individual
NATHAN THOMAS ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
501 W LAUREL AVE, PEN ARGYL, PA 18072-1052
(610) 863-1293
Mailing address
411 LIBERTY AVE, ROSETO, PA 18013-1229
(610) 533-0074
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004518
PA
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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