NPI 1003128174

Bryan James Roberts, COTA

Practitioner Occupational Therapy Assistant Midland, MI

Practice location

Address: 2121 Rockwell Dr, Midland, MI 48642-9316
Phone: (989) 633-5372

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 5202006620 (MI)

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Registry record

NPI: 1003128174
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jul 2010
Record last updated: 6 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.