National Provider Identifier

Zakiyyah D Roberson, OT

Zakiyyah D Roberson, OT is listed in the NPPES registry with a primary specialty of Occupational Therapist in Buffalo, NY and a listed phone number of (716) 316-9085.

NPI 1215315262Buffalo, NYOccupational Therapist

Profile Overview

NPI
1215315262
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
May 11, 2015
Last Updated
July 18, 2023

Practice Location

  • 139 Northland Ave
  • Buffalo, NY 14208-1102

Phone: (716) 316-9085

Mailing Address

  • 4581 Eden Woods Cir
  • Orlando, FL 32810-2895

Specialties

  • Occupational Therapist (225X00000X)
  • Occupational Therapist (225X00000X)
  • Occupational Therapy Assistant (224Z00000X)
Full Record
NPI
1215315262
Entity Type
Individual
Last Name
Roberson
First Name
Zakiyyah
Middle Name
D
Credential
OT
Provider Other Last Name
Mickens
Provider Other First Name
Zakiyyah
Provider Other Credential Text
OT
Provider Other Last Name Type Code
1
Mailing Street Address
4581 Eden Woods Cir
Mailing City
Orlando
Mailing State
FL
Mailing ZIP Code
32810-2895
Mailing Country
US
Mailing Phone
(716) 316-9085
Practice Street Address
139 Northland Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14208-1102
Practice Country
US
Practice Phone
(716) 316-9085
Enumeration Date
May 11, 2015
Last Updated
July 18, 2023
Sex
Female
Sole Proprietor
No
Certification Date
July 18, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X), Occupational Therapist (225X00000X), Occupational Therapy Assistant (224Z00000X)
Other Identifiers
0829796 (NY, License)