Mr. Robert Theodore Mentz III
Occupational Therapist Occupational Therapist - Gerontology
3159 Julington Creek Rd
Jacksonville
, Florida 32223-2727
Mr. Robert Theodore Mentz III
Occupational Therapist Occupational Therapist - Gerontology
3159 Julington Creek Rd
Jacksonville
, Florida 32223-2727
(904) 651-1498
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About
Features
Specialties
- Occupational Therapist
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Mr. Robert Theodore Mentz III
- 3159 Julington Creek Rd
- Jacksonville, FL
- Zip : 32223
- Phone : (904) 651-1498
Second Address
- Mr. Robert Theodore Mentz III
- 3159 Julington Creek Rd
- Jacksonville, FL
- Zip : 32223-2727
- Phone : (904) 651-1498
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | OT8409 | FL |
| Y | 225XG0600X | Occupational Therapist - Gerontology | OT8409 | FL |
National Provider Identifier
| NPI | 1457622243 |
|---|---|
| Provider Name | Mr. Robert Theodore Mentz III |
| First Address | Jacksonville, FL 32223 |
| Second Address | Jacksonville, FL 32223-2727 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/01/2012 |
| Last Update Date | 25/11/2014 |
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.