Individual
GARY P ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T.R.
Contact information
Practice address
275 S ROCK CRUSHER RD, LOT 371, CRYSTAL RIVER, FL 34429-5751
(508) 274-3321
Mailing address
PO BOX 640277, BEVERLY HILLS, FL 34464-0277
(508) 274-3321
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT9733
FL
225XN1300X
Neurorehabilitation Occupational Therapist
OT9733
FL
Other
Enumeration date
07/11/2007
Last updated
02/09/2008
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