Individual
MR. ROBERT S FETTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5381 DESOTO RD, SARASOTA, FL 34235-2618
(941) 355-6111
Mailing address
16634 2ND AVE E, BRADENTON, FL 34212-9537
(941) 448-3772
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12516
FL
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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