Individual
JOANN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
431 BROOKY RD, FRASER, CO 80442-0593
(970) 531-9460
(970) 726-5337
Mailing address
PO BOX 593, FRASER, CO 80442-0593
(970) 531-9460
(970) 726-5337
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2122
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82607052
—
CO
Enumeration date
02/13/2008
Last updated
02/13/2008
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