Roller, Brenda M

Roller, Brenda M is an sole proprietor health care provider with primary practice located at 302 Strasburg Dr , Port Charlotte FL 33954-3305. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Roller, Brenda M can be contacted via phone (941) 204-2695.

Contact Information

Primary practice address
302 Strasburg Dr Port Charlotte FL 33954-3305
Phone: (941) 204-2695
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT 3382 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1932331147
LBN Legal business name Roller, Brenda M
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2009
Last updated May 20th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932331147 NPPES
Florida MEDICAID 008510600

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