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General NPI Number Information
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NPI Number | 1235518028
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Entity Type | Organization
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Legal Business Name | ROBYN COLLEY OTR/L LLC
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Dates
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Enumeration Date | 05/26/2015
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Last Update Date | 05/26/2015
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Provider Practice Location Address
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Address Line | 2989 W STATE ROAD 434 SUITE 200
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City | LONGWOOD
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State | FL
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Zip | 32779-4463
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Country | US
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Telephone | 407-636-6924
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Fax | 407-982-3357
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Provider Business Mailing Address
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Address Line | 2989 W STATE ROAD 434 SUITE 200
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City | LONGWOOD
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State | FL
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Zip | 32779-4463
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Country | US
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Telephone | 407-636-6924
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Fax | 407-982-3357
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST/OWNER
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Name | MRS. ROBYN L COLLEY
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Credential | OTR/L
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Telephone | 407-636-6924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA12727
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT 15248
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA5268
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT8386
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License Number State | FL
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