Individual
MRS. ROBERTA ANN GILMARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA, RBT
Contact information
Practice address
1048 W SAMMS AVE, PORT ORANGE, FL 32129
(386) 304-0229
Mailing address
1048 W SAMMS AVE, PORT ORANGE, FL 32129-4168
(386) 304-0229
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OTA 12457
FL
224Z00000X
Occupational Therapy Assistant
Primary
OTA12457
FL
Other
Enumeration date
10/11/2012
Last updated
05/16/2018
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