Individual
MR. ROBERTO ESTRELLADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L, DOR
Contact information
Practice address
212 FAIRVIEW ST, CENTERBURG, OH 43011-8314
(740) 625-5774
Mailing address
212 FAIRVIEW ST, CENTERBURG, OH 43011-8314
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-6110
OH
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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