Individual
SHANNON LAUREL ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3214 WINCHESTER, BENTON, AR 72015-2929
(501) 326-6160
Mailing address
3214 WINCHESTER, BENTON, AR 72015-2929
(501) 326-6160
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3007
AR
Other
Enumeration date
09/12/2007
Last updated
09/22/2009
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