Michael Jessie Visita Roberts, PTA
NPI #1396264982 in Middleburg, Florida
Provider Information
- NPI Number
- 1396264982
- Entity Type
- Individual
- Name
- Michael Jessie Visita Roberts, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Sep 14, 2017
- Last Updated
- Sep 14, 2017
Practice Location
- Address
- 1648 ST. VINCENTS WAY
- Address 2
- 100B
- City
- Middleburg
- State
- Florida
- ZIP Code
- 32068
- Phone
- (904) 214-3083
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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