Provider Demographics
NPI:1982146700
Name:ADAMS, ROBIN BEATY (OTR/L)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:BEATY
Last Name:ADAMS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:267 SEABREEZE DR
Mailing Address - Street 2:
Mailing Address - City:FLAGLER BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32136-2738
Mailing Address - Country:US
Mailing Address - Phone:386-503-3933
Mailing Address - Fax:
Practice Address - Street 1:267 SEABREEZE DR
Practice Address - Street 2:
Practice Address - City:FLAGLER BEACH
Practice Address - State:FL
Practice Address - Zip Code:32136-2738
Practice Address - Country:US
Practice Address - Phone:386-503-3933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-10
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT16214225X00000X
TNOT5007225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist