Lisa R Roles, PTA
NPI #1902966799 in Beckley, West Virginia
Provider Information
- NPI Number
- 1902966799
- Entity Type
- Individual
- Name
- Lisa R Roles, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- PTA
- Enumeration Date
- Dec 11, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3875 ROBERT C BYRD DR
- City
- Beckley
- State
- West Virginia
- ZIP Code
- 25801
- Phone
- (304) 253-1960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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