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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES WAYNE ROBERTSON, PTA

Active

CHARLES WAYNE ROBERTSON, PTA is a Occupational Therapist healthcare provider located in POPLAR BLUFF, Missouri. NPI 1174772495 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · POPLAR BLUFF, MO

Registration Details

NPI Number
1174772495
Provider Type
Individual
Gender
Male
NPI Issued
Sep 10, 2008 (17.921461191696 yrs)
Last Updated
Sep 10, 2008
License
2000161109 (MO)

Practice Information

Address
2725 N WESTWOOD BLVD
POPLAR BLUFF, MO, 639012346
Browse MO providers · Browse ZIP 63901
Phone
5737789348
Fax
5737783463
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in POPLAR BLUFF, MO

Name Credential NPI
MR. JOHN MICHAEL GARIEPY PTA 1437234150
LEIGH ANN JOHNSON PTA 1831348150
STEFANIE JANELL TINSLEY PTA 1790934016
STACY JO CAMPBELL PTA 1548419864
ANGELA L. GREGORY PTA 1255580577
ZULEIKA DANIELLE MATLOCK PTA 1114177607
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.