| NPI | 1134420532 |
|---|---|
| Former Name | AMY NICOLE ROBERTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT 14289) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CO OT.0003606) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2013-01-31 |