Individual
MICHAEL SHANE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2576 LAWRENCEVILLE SUWANEE RD, SUWANEE, GA 30024-7290
(770) 962-4043
Mailing address
2576 LAWRENCEVILLE SUWANEE RD, SUWANEE, GA 30024-7290
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/26/2026
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