Individual
BROOKE LYNN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1411 HIGHWAY 389, STARKVILLE, MS 39759-8451
(662) 769-4888
Mailing address
4869 STONEBRIDGE CV, TUPELO, MS 38801-9499
(662) 640-5606
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-4005
MS
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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