Doctor Name: | PATRICIA (TRISHA) BETTY ROBERTS |
NPI Number: | 1053526152 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPT |
License Number: | 05001208A |
Business Practice Address: | 5845 South 500 West Columbia City, IN - 467259472 |
Business Phone Number: | 2606090424 |
Business Fax Number: | 2606913349 |
Mailing Address: | 5845 South 500 West 57, COLUMBIA CITY |
State: | IN |
Postal Code: | 467259472 |
Phone Number: | 2606090424 |
Fax Number: | 2606913349 |
NPI Enumeration Date: | 05/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 05001208A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |