Roberts, Patricia (Trisha) Betty

Roberts, Patricia (Trisha) Betty is an individual health care provider with primary practice located at 24 Hollywood Blvd Sw Ste 7 , Fort Walton Beach FL 32548-4893. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Roberts, Patricia (Trisha) Betty can be contacted via phone (850) 226-7411.

Contact Information

Primary practice address
24 Hollywood Blvd Sw Ste 7 Fort Walton Beach FL 32548-4893
Phone: (850) 226-7411
Fax: (850) 226-7496
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 05001208A Indiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 33400 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 33400 Florida

Profile Details

NPI number 1053526152
LBN Legal business name Roberts, Patricia (Trisha) Betty
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated Apr 2nd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053526152 NPPES
Florida MEDICAID 1053526152

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