Individual
ANDREA M ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
323 E TOWN ST, COLUMBUS, OH 43215-4753
(614) 461-8174
(614) 461-9155
Mailing address
323 E TOWN ST, COLUMBUS, OH 43215-4753
(614) 461-8174
(614) 461-9155
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.011999
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT.011999
STATE LICENSE
OH
Enumeration date
05/23/2012
Last updated
05/23/2012
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