Individual
VITA S ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1309 KEMPSVILLE ROAD, NORFOLK, VA 23502
(757) 461-5001
(757) 461-1909
Mailing address
1309 KEMPSVILLE ROAD, NORFOLK, VA 23502
(757) 461-5001
(757) 461-1909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119006488
VA
225X00000X
Occupational Therapist
Primary
7805
NC
Other
Enumeration date
03/04/2011
Last updated
12/23/2015
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