Roberts, Michael Shane

Roberts, Michael Shane is an individual health care provider with primary practice located at 2576 Lawrenceville Suwanee Rd , Suwanee GA 30024-7290. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Roberts, Michael Shane can be contacted via phone (770) 962-4043.

Contact Information

Primary practice address
2576 Lawrenceville Suwanee Rd Suwanee GA 30024-7290
Phone: (770) 962-4043
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1962197277
LBN Legal business name Roberts, Michael Shane
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2023
Last updated Apr 11th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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