Mr. Robert S Fetterman
Occupational Therapy Assistant
5381 Desoto Rd
Sarasota
, Florida 34235-2618
Mr. Robert S Fetterman
Occupational Therapy Assistant
5381 Desoto Rd
Sarasota
, Florida 34235-2618
(941) 448-3772
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Mr. Robert S Fetterman
- 16634 2nd Ave E
- Bradenton, FL
- Zip : 34212-9537
- Phone : (941) 448-3772
Second Address
- Mr. Robert S Fetterman
- 5381 Desoto Rd
- Sarasota, FL
- Zip : 34235-2618
- Phone : (941) 355-6111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA12516 | FL |
National Provider Identifier
| NPI | 1013448877 |
|---|---|
| Provider Name | Mr. Robert S Fetterman |
| First Address | Bradenton, FL 34212-9537 |
| Second Address | Sarasota, FL 34235-2618 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2017 |
| Last Update Date | 23/03/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.