Individual
MR. DANIEL JAMES ROBERTS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.O.T.A.
Contact information
Practice address
ONE WEST PARK CIRCLE, SUITE 108, MIDLOTHIAN, VA 23114
(800) 969-9265
Mailing address
369 SOYBEAN DR, APPOMATTOX, VA 24522-4308
(434) 665-4792
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000748
VA
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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