Mrs. Joelle Miranda Roberson
Physical Therapist - Pediatrics
98 N Ellicott St
Williamsville
, New York 14221-5535
Mrs. Joelle Miranda Roberson
Physical Therapist - Pediatrics
98 N Ellicott St
Williamsville
, New York 14221-5535
(716) 631-0215
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Joelle Miranda Roberson
- 98 N Ellicott St
- Williamsville, NY
- Zip : 14221-5535
- Phone : (716) 631-0215
Second Address
- Mrs. Joelle Miranda Roberson
- 98 N Ellicott St
- Williamsville, NY
- Zip : 14221-5535
- Phone : (716) 631-0215
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | 011750 | NY |
National Provider Identifier
| NPI | 1063668739 |
|---|---|
| Provider Name | Mrs. Joelle Miranda Roberson |
| First Address | Williamsville, NY 14221-5535 |
| Second Address | Williamsville, NY 14221-5535 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/08/2008 |
| Last Update Date | 14/08/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.