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General NPI Number Information
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NPI Number | 1538300306
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Entity Type | Organization
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Legal Business Name | ROBERTS & ASSOCIATES PHYSICAL THERAPY SC
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Dates
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Enumeration Date | 03/09/2009
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 621 8TH ST S
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City | WISCONSIN RAPIDS
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State | WI
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Zip | 54494-5019
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Country | US
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Telephone | 715-529-3487
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Fax | 715-251-6236
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Provider Business Mailing Address
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Address Line | PO BOX 324
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City | AMHERST
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State | WI
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Zip | 54406-0324
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Country | US
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Telephone | 715-529-3487
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Fax | 715-251-6236
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | BRETT A ROBERTS
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Credential | MPT
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Telephone | 715-340-7226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 1117424
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License Number State | WI
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