Provider Demographics
NPI:1033133673
Name:SWARTZ, ROBYN (PT)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ROBYN
Other - Middle Name:LEEANNE
Other - Last Name:COYNE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BS PT
Mailing Address - Street 1:6692 MERCHANDISE WAY
Mailing Address - Street 2:#C
Mailing Address - City:DIAMOND SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:95619
Mailing Address - Country:US
Mailing Address - Phone:530-621-1149
Mailing Address - Fax:530-626-3049
Practice Address - Street 1:6692 MERCHANDISE WAY
Practice Address - Street 2:#C
Practice Address - City:DIAMOND SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:95619
Practice Address - Country:US
Practice Address - Phone:530-621-1149
Practice Address - Fax:530-626-3049
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15408225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist