IndividualActive
Jody Robertson, COTA/L
NPI 1629613013 · Occupational Therapy Assistant · Indian Harbour Beach, FL
Provider details
- NPI number
- 1629613013
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- OTA17461 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2040 Highway A1a Ste 203
Indian Harbour Beach, FL 32937-3566
Phone: (321) 773-8989
Fax: (321) 773-7999
Approximate (ZIP-level) locationGet directions
Mailing address
1580 Perdido Ct
Melbourne, FL 32940-6226
Registry dates
- Enumerated
- 2019-11-09
- Last updated
- 2019-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.