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Individual

ROBIN WATERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
125 ALMA BLVD, MERRITT ISLAND, FL 32953-4345
(321) 961-0211
Mailing address
125 ALMA BLVD, MERRITT ISLAND, FL 32953-4345
(321) 961-0211

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13361
FL

Other

Enumeration date
09/25/2015
Last updated
09/25/2015
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