Individual
MISS MELISSA JEAN ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3703 W LAKE AVE, 200, GLENVIEW, IL 60026-1223
(847) 998-1188
Mailing address
1500 S ARDMORE AVE APT 402, 402, VILLA PARK, IL 60181-4904
(574) 514-8341
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.004563
IL
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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