Individual
ABBY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
675 OLD BALLAS RD, CREVE COEUR, MO 63141-7479
(314) 310-6655
Mailing address
14515 N OUTER 40 RD, 110, CHESTERFIELD, MO 63017-5791
(314) 434-8680
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2016027706
MO
225100000X
Physical Therapist
PT34517
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT34517
PT LICENSE
FL
Enumeration date
08/09/2016
Last updated
01/17/2024
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