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Individual

MR. GARY ROBINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR, CHT, MBA

Contact information

Practice address
1865 LPGA BLVD, DAYTONA BEACH, FL 32117-7108
(386) 255-4596
(386) 257-0558
Mailing address
1865 LPGA BLVD, DAYTONA BEACH, FL 32117-7108
(386) 255-4596
(386) 257-0558

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
3807
TN
225X00000X
Occupational Therapist
Primary
OT20223
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119953500
FL
Enumeration date
03/21/2007
Last updated
08/02/2024
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