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MR. SHANNON DEWAYNE ROBERTS P.T.

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

Registrant NPI Number: 1073737110

Individual Registrant:
MR. SHANNON DEWAYNE ROBERTS P.T.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
86892 HIGHWAY 9  LINEVILLE, AL 36266-6949 US
Tel: 256-396-9307  Fax: --

Contact information for business:
915 BELLS MILL RD  HEFLIN, AL 36264-2100 US
Tel: 256-463-2334  Fax: --

Registration Information:
NPI: 1073737110
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
ALPTH1173

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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