Benjamin Roberts

NPI #1720542608 in Cochranton, Pennsylvania

Provider Information

NPI Number: 1720542608
Entity Type: Individual
Name: Benjamin Roberts
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 25, 2019
Last Updated: Jan 25, 2019

Practice Location

Address: 183 S ATLANTIC AVE
City: Cochranton
State: Pennsylvania
ZIP Code: 16314-8605
Phone: (814) 758-7322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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