Individual
MRS. THERESA MARIE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
51A S MAIN ST, CENTERVILLE FINANCE, OH 45458-2361
(937) 433-8080
(937) 433-9554
Mailing address
51A S MAIN ST, CENTERVILLE FINANCE, OH 45458-2361
(937) 433-8080
(937) 433-9554
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
A-01082
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000286865
ANTHEM PROVIDER NUMBER
OH
Enumeration date
04/27/2007
Last updated
07/08/2007
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