Individual provider · Type 1 NPI

Jerrell De'andre Roberts

Rehabilitation Practitioner · North Las Vegas, NV

NPI number 1003195488 Active

Practice location

2704 Prospector Mine Ave
North Las Vegas, NV 89031-1188

Call (702) 647-5300 Map

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1003195488

Jerrell De'andre Roberts's National Provider Identifier is 1003195488, issued on Aug 16, 2011. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in North Las Vegas, NV. The record was last updated on Sep 16, 2011.