Individual
BRYAN JAMES ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2121 ROCKWELL DR, MIDLAND, MI 48642-9316
(989) 633-5372
Mailing address
2121 ROCKWELL DR, MIDLAND, MI 48642-9316
(989) 633-5372
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202006620
MI
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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