Organization
POWER UP PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES ROBERTSON (OCCUPATIONAL THERAPIST (OWNER))
(443) 695-6604
Entity
Organization
Contact information
Practice address
7050 ISLA VISTA DR, WEST PALM BEACH, FL 33412-3065
(443) 695-6604
Mailing address
7050 ISLA VISTA DR, WEST PALM BEACH, FL 33412-3065
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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