Doctor Name: | SUSAN G ROBERSON |
NPI Number: | 1205955317 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 1035244 |
Business Practice Address: | 1580 Highway 287 N Mansfield, TX - 760637593 |
Business Phone Number: | 8174734684 |
Business Fax Number: | 8174731170 |
Mailing Address: | Po Box 501, 1580 Hwy 287 N MANSFIELD |
State: | TX |
Postal Code: | 760630501 |
Phone Number: | 8174734684 |
Fax Number: | 8174731170 |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1035244 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |