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NPI Code Detail

MEDICARE: ROSELLE-MAE ROBLES DPT

MEDICARE: ROSELLE-MAE ROBLES DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1578492153
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSELLE-MAE ROBLES DPT
Provider Business Mailing Address
First Line : 732 DELOACH DR
Second Line :
City : CEDAR HILL
State : TX
Zip : 75104-4228
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2070 CLINTON AVE
Second Line :
City : ALAMEDA
State : CA
Zip : 94501-4399
Country : US
Telephone Number : 510-522-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ ROSELLE-MAE ROBLES DPT” Practice Location

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