Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 008425 | CT |
N | 2251X0800X | Physical Therapist - Orthopedic | 023535 | NY |
NPI | 1265401293 |
---|---|
Provider Name | Ms. Jennifer Anne Robbins |
First Address | Greenwich, CT 06831-4233 |
Second Address | Greenwich, CT 06831-4233 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 31/08/2011 |