Most Relevant Information
Provider Data
| NPI Number: | 1003204801 |
| Provider Name: | DWIGHT ROBERTS |
| Entity Type: | Individual |
| Taxonomy Code: | 225C00000X |
| Specialty: | Rehabilitation Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/31/2014 |
| Last Updated: | 12/31/2014 |
Provider Practice Location
2817 DEL RIO PL
LOUISVILLE
KY
402202340
Practice Location Phone/Fax
| Phone: | 5028024287 |
| Fax: |
Provider Mailing Location
101 W MUHAMMAD ALI BLVD
LOUISVILLE
KY
402021423
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |