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Individual

MRS. KIPP ASHLEY ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
4934 NE 123RD LN, OXFORD, FL 34484-9630
(352) 466-2143
Mailing address
4934 NE 123RD LN, OXFORD, FL 34484-9630
(352) 466-2143

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
KY-A3608
KY
224Z00000X
Occupational Therapy Assistant
Primary
OTA12429
FL

Other

Enumeration date
05/14/2007
Last updated
08/23/2024
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