Robertson, Michelle
Robertson, Michelle is an sole proprietor health care provider with primary practice located at 19215 Peninsula Shores Dr , Cornelius NC 28031-7579. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Ambulatory Health Care Facilities / Physical Therapy. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Robertson, Michelle can be contacted via phone (704) 895-7343.Contact Information
Primary practice address
19215 Peninsula Shores Dr
Cornelius NC 28031-7579
Phone: (704) 895-7343
Fax: (704) 895-7343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | P5385 | North Carolina |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | P5385 | North Carolina |
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | P5385 | North Carolina |
Profile Details
| NPI number | 1316969231 |
|---|---|
| LBN Legal business name | Robertson, Michelle |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jun 14th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316969231 | NPPES |
| North Carolina | MEDICAID | 7211650 |
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