Provider Demographics
NPI:1023212958
Name:STEFANIK, ROBB ARNOLD (PT)
Entity Type:Individual
Prefix:MR
First Name:ROBB
Middle Name:ARNOLD
Last Name:STEFANIK
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4473 VERANDA LAKE CT
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27409-9243
Mailing Address - Country:US
Mailing Address - Phone:336-207-8937
Mailing Address - Fax:
Practice Address - Street 1:4100 WELL SPRING DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-8857
Practice Address - Country:US
Practice Address - Phone:336-545-5416
Practice Address - Fax:336-217-8790
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9672225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist