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1255692521
CHARISSA D ROBERTS
FAYETTEVILLE, AR
NPI
1255692521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA2600)
Enumeration Date
2012-06-04
Last Update Date
2012-06-04
Business Address
-- CHARISSA D ROBERTS PTA
48 W COLT SQUARE DR
FAYETTEVILLE, AR 72703-2813
Phone number: 479-582-2740
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Mailing Address
-- CHARISSA D ROBERTS PTA
48 W COLT SQUARE DR
FAYETTEVILLE, AR 72703-2813
Phone number: 479-582-2740
Copy
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