Provider Demographics
NPI:1699089763
Name:BRESSLER, ROBERTA JEAN (OTR)
Entity type:Individual
Prefix:
First Name:ROBERTA
Middle Name:JEAN
Last Name:BRESSLER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2996 SE FAIRWAY W
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-6022
Mailing Address - Country:US
Mailing Address - Phone:772-233-3761
Mailing Address - Fax:772-419-6004
Practice Address - Street 1:2996 SE FAIRWAY W
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-6022
Practice Address - Country:US
Practice Address - Phone:772-233-3761
Practice Address - Fax:772-419-6004
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-01
Last Update Date:2010-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 14244225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOT 14244OtherFLORIDA OCCUPATIONAL THERAPY ASSOCIATION LICENSE