Basic Information
| Provider Information | |||||||||
| NPI: | 1851338909 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ROBBINS REHABILITATION | ||||||||
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| Mailing Information | |||||||||
| Address1: | 35 E UWCHLAN AVE | ||||||||
| Address2: | SUITE 330 | ||||||||
| City: | EXTON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193411259 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108413555 | ||||||||
| FaxNumber: | 6108413558 | ||||||||
| Practice Location | |||||||||
| Address1: | 2895 HAMILTON BLVD | ||||||||
| Address2: | STE 105 | ||||||||
| City: | ALLENTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 181046172 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108413555 | ||||||||
| FaxNumber: | 6108413558 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/31/2006 | ||||||||
| LastUpdateDate: | 10/25/2010 | ||||||||
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| AuthorizedOfficialLastName: | ROBBINS | ||||||||
| AuthorizedOfficialFirstName: | TRAVIS | ||||||||
| AuthorizedOfficialMiddleName: | JOSEPH | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER/PHYSICAL THERAPIST | ||||||||
| AuthorizedOfficialTelephone: | 6108413555 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MSPT | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT016014 | PA | Y | 193400000X SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.