NPI 1407466147

Craig Roberts, PTA

Practitioner Physical Therapy Assistant Celebration, FL

Practice location

Address: 2954 Mallory Cir STE 110, Celebration, FL 34747-1820
Phone: (321) 939-0222
Mailing address: 1584 Francois CT, Oviedo, FL 32765-7594

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 30190 (FL)

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Registry record

NPI: 1407466147
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Aug 2020
Record last updated: 7 Aug 2020

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.