Individual
CHARLOTTE ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1503 OHIO ST, LEAVENWORTH, KS 66048-2932
(615) 896-6400
Mailing address
805 N 12TH ST, LEAVENWORTH, KS 66048-1203
(913) 682-8460
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01436
KS
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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