Anita Jo Roberts in Fayetteville - Specialist

Anita Jo Roberts - NPI 1104863752

Anita Jo Roberts is a Specialist in Fayetteville, Arkansas. Anita Jo Roberts practices all healthcare services and medical treatments related to Specialist. The NPI Number for Anita Jo Roberts is 1104863752. The last update date is 2007-07-08.

Anita Jo Roberts's current location address is 1760 N Woodland Ave, Fayetteville, Arkansas. You can contact this provider via phone number 4794434420. The mailing address for Anita Jo Roberts is 1760 N Woodland Ave, Fayetteville, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Anita Jo Roberts
Address 1760 N Woodland Ave, Fayetteville, Arkansas
Phone Number 4794434420
Fax Number
Sole Proprietor X
Credentials OTR/L

NPI Number Detail

NPI Number 1104863752
Provider Enumeration Date 2006-06-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1760 N Woodland Ave
City Fayetteville
State Arkansas (AR)
Post Code 727032549
Phone Number 4794434420
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No OTR317
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Anita Jo Roberts

What is the Anita Jo Roberts's unique identification number?

The Anita Jo Roberts has been assigned the NPI (National Provider Identifier) Number 1104863752 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Anita Jo Roberts's facilities are situated?

The facilities of Anita Jo Roberts are physically located at the following address: 1760 N Woodland Ave, Fayetteville, AR, 727032549.

What is Anita Jo Roberts's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Anita Jo Roberts is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1104863752 to Anita Jo Roberts?

The Centers for Medicare & Medicaid Services assigned the 1104863752 to Anita Jo Roberts on 2006-06-01.

As of what date were the details related to Anita Jo Roberts most recently updated or revised?

The information pertaining to Anita Jo Roberts, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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