Individual
ROGER A. TABATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13800 VETERANS WAY, ORLANDO, FL 32827-7401
(407) 631-6031
Mailing address
13800 VETERANS WAY, ORLANDO, FL 32827-7401
(407) 631-6031
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
83152
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83152
NCTRC
FL
Enumeration date
10/22/2020
Last updated
10/22/2020
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