Individual
MRS. JESSIE MICHELLE ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
9689 SHANNON HILL RD, LOUISA, VA 23093-6348
(804) 441-4449
Mailing address
9689 SHANNON HILL RD, LOUISA, VA 23093-6348
(804) 441-4449
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602213
VA
Other
Enumeration date
08/19/2009
Last updated
08/19/2009
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