Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT 2136 | FL |
NPI | 1114299328 |
---|---|
Provider Name | Vivian B Robinson |
First Address | Sarasota, FL 34239-2600 |
Second Address | Sarasota, FL 34239-2600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2012 |
Last Update Date | 02/02/2012 |