Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | DAPT004242 | PA |
Y | 2251N0400X | Physical Therapist - Neurology | PT019222 | PA |
NPI | 1750057493 |
---|---|
Provider Name | Dr. Robyn Lynne Redline |
First Address | Hollidaysburg, PA 16648-2120 |
Second Address | Altoona, PA 16602-1115 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2021 |
Last Update Date | 30/08/2021 |