Individual
ROBIN A SOUTHECORVO
Active
Individual
ROBIN A SOUTHECORVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225XH1200X
Hand Occupational Therapist
Primary
0620
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7302006
—
NC
Enumeration date
09/26/2006
Last updated
09/12/2012
Update your record
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