Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 009868-1 | NY |
N | 225X00000X | Occupational Therapist | 109541-4201 | UT |
N | 225X00000X | Occupational Therapist | 12329 | FL |
N | 225X00000X | Occupational Therapist | 316026 | OR |
N | 225X00000X | Occupational Therapist | 6328 | NC |
N | 225X00000X | Occupational Therapist | 7336 | CA |
Y | 225X00000X | Occupational Therapist | Z10801 | LA |
NPI | 1003933888 |
---|---|
Provider Name | Ms. Patricia Ann Roberson |
First Address | New Orleans, LA 70116-1603 |
Second Address | New Orleans, LA 70116-1603 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2007 |
Last Update Date | 08/07/2007 |