National Provider Identifier

Joelle Miranda Roberson, M.S., P.T.

Joelle Miranda Roberson, M.S., P.T. is listed in the NPPES registry with a primary specialty of Pediatric Physical Therapist in Williamsville, NY and a listed phone number of (716) 631-0215.

NPI 1063668739Williamsville, NYPediatric Physical Therapist

Profile Overview

NPI
1063668739
Provider Type
Individual
Primary Specialty
Pediatric Physical Therapist
Enumeration Date
August 14, 2008
Last Updated
August 14, 2008

Practice Location

  • 98 N Ellicott St
  • Williamsville, NY 14221-5535

Phone: (716) 631-0215

Specialties

  • Pediatric Physical Therapist (2251P0200X)
Full Record
NPI
1063668739
Entity Type
Individual
Last Name
Roberson
First Name
Joelle
Middle Name
Miranda
Name Prefix
Mrs.
Credential
M.S., P.T.
Mailing Street Address
98 N Ellicott St
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-5535
Mailing Country
US
Mailing Phone
(716) 631-0215
Practice Street Address
98 N Ellicott St
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-5535
Practice Country
US
Practice Phone
(716) 631-0215
Enumeration Date
August 14, 2008
Last Updated
August 14, 2008
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Physical Therapist (2251P0200X)