Individual
ROBERT MARKUS LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3656 JACKSON ST APT 22, PORT ORANGE, FL 32129-7623
(386) 341-6759
Mailing address
3656 JACKSON ST APT 22, PORT ORANGE, FL 32129-7623
(386) 341-6759
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13381
FL
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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