Individual
JENNIFER ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHRD, ATC
Contact information
Practice address
10626 CLEMSON BLVD, SENECA, SC 29678-4526
(864) 617-0903
Mailing address
10626 CLEMSON BLVD, SENECA, SC 29678-4526
(864) 617-0903
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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