Individual
JODY LEE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2040 HIGHWAY A1A STE 203, INDIAN HARBOUR BEACH, FL 32937-3566
(321) 773-8989
(321) 773-7999
Mailing address
1580 PERDIDO CT, MELBOURNE, FL 32940-6226
(218) 780-1991
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17461
FL
Other
Enumeration date
11/09/2019
Last updated
11/09/2019
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