Individual
CHARLES ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
169 TEQUESTA DR STE 24E, TEQUESTA, FL 33469-4700
(561) 747-8188
Mailing address
7050 ISLA VISTA DR, WEST PALM BEACH, FL 33412-3065
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
004115
CT
225X00000X
Occupational Therapist
Primary
OT21819
FL
Other
Enumeration date
02/18/2014
Last updated
11/03/2021
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