Individual
ROBERT FLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
8017 DOGWOOD LN, MILAN, TN 38358-6805
(731) 686-8373
Mailing address
187 MILAN HWY, MILAN, TN 38358-6035
(731) 693-4008
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA0000002906
TN
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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