Individual
MR. CHARLES ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
690 SAINT PAUL ST, ROCHESTER, NY 14605-1709
(585) 324-9956
Mailing address
85 REDDICK LN, ROCHESTER, NY 14624-1959
(585) 594-1114
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
007385-1
NY
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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