Provider Demographics
NPI:1457674350
Name:ROEBKER, ALLISON MARIE (PT)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:MARIE
Last Name:ROEBKER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6733 VERDE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-3290
Mailing Address - Country:US
Mailing Address - Phone:513-535-7857
Mailing Address - Fax:
Practice Address - Street 1:6733 VERDE RIDGE DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247-3290
Practice Address - Country:US
Practice Address - Phone:513-535-7857
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-05
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT 009967225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist