Basic Information
| Provider Information | |||||||||
| NPI: | 1700083714 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROBLING | ||||||||
| FirstName: | ANDREA | ||||||||
| MiddleName: | NICHOLE | ||||||||
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| Credential: | OTA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1322 S ALVORD BLVD | ||||||||
| Address2: | |||||||||
| City: | EVANSVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 477143015 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8124592982 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1020 W VINE ST | ||||||||
| Address2: | |||||||||
| City: | PRINCETON | ||||||||
| State: | IN | ||||||||
| PostalCode: | 476701164 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8123855238 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/02/2007 | ||||||||
| LastUpdateDate: | 06/25/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 224Z00000X | 32000748A | IN | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant |
No ID Information.