Roberta Dearth

NPI #1942531462 in Channahon, Illinois

Provider Information

NPI Number: 1942531462
Entity Type: Individual
Name: Roberta Dearth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Jan 22, 2010
Last Updated: Jan 22, 2010

Practice Location

Address: 25652 W COLLEEN CT
City: Channahon
State: Illinois
ZIP Code: 60410-8638
Phone: (815) 791-1510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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