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Michael Jessie Roberts, PTA
NPI 1396264982 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1648 St. Vincents Way
100b
Middleburg, FL 32068 - Phone
- (904) 214-3083
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-09-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida