Individual
MR. ROBERT THEODORE MENTZ III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
3159 JULINGTON CREEK RD, JACKSONVILLE, FL 32223-2727
(904) 651-1498
Mailing address
3159 JULINGTON CREEK RD, JACKSONVILLE, FL 32223
(904) 651-1498
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT8409
FL
225XG0600X
Gerontology Occupational Therapist
Primary
OT8409
FL
Other
Enumeration date
01/25/2012
Last updated
11/25/2014
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