NPI 1124682406

Gregory Lee Roberson

Practitioner Physical Therapist Bridgeport, WV

Practice location

Address: 415 Benedum Dr, Bridgeport, WV 26330-1503
Phone: (304) 842-9887
Fax: (304) 842-9888

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 003284 (WV)

Other Physical Therapist providers in West Virginia →

Registry record

NPI: 1124682406
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Apr 2019
Record last updated: 23 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.