Individual
MS. JILL ILEEN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
499 SPRINGRIDGE RD LOT A12, CLINTON, MS 39056-5632
(601) 925-4762
Mailing address
499 SPRINGRIDGE RD LOT A12, CLINTON, MS 39056-5632
(601) 925-4762
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4123
MS
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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