Individual
JASMINE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1314 18TH ST, SARASOTA, FL 34234-8427
(941) 400-7579
Mailing address
1314 18TH ST, SARASOTA, FL 34234-8427
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16740
FL
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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