Individual
VICTORIA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
22950 NORTHLINE RD, TAYLOR, MI 48180-4696
(734) 287-1234
Mailing address
22187 SUSSEX CT, WOODHAVEN, MI 48183-3747
(313) 574-7751
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007340
MI
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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