Individual
MIRIAM LOVESTRAND ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
140 TONINA CV, STE 100, MAITLAND, FL 32751-3442
(407) 388-0246
Mailing address
2108 KILMER LN, APOPKA, FL 32703-5701
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
10632
FL
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
10/11/2011
Last updated
09/27/2018
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