| NPI | 1760873863 |
|---|---|
| Former Name | AMY J. ROBERTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: WV PT002157) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV PT002157) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2023-10-23 |