Individual
ELYSA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, OTRL
Contact information
Practice address
509 HARBOR DR S, VENICE, FL 34285-2812
(305) 773-1468
Mailing address
509 HARBOR DR S, VENICE, FL 34285-2812
(305) 773-1468
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5459
FL
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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