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MR. CARL ROBERTS

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1144493081

Individual Registrant:
MR. CARL  ROBERTS 
Gender: M
Sole Proprietor

Location and contact information for practice:
32895 COASTAL HWY  BETHANY BEACH, DE 19930-3782 US
Tel: 302-539-5099  Fax: 302-539-8649

Contact information for business:
32895 COASTAL HWY  BETHANY BEACH, DE 19930-3782 US
Tel: 302-539-5099  Fax: 302-539-8649

Registration Information:
NPI: 1144493081
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
DEMT0000128

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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