Provider Demographics
NPI:1043460207
Name:MORRIS, ROBIN JANEY
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:JANEY
Last Name:MORRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4909 SPLIT RAIL DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-8317
Mailing Address - Country:US
Mailing Address - Phone:910-399-6693
Mailing Address - Fax:
Practice Address - Street 1:1722 N KERR AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-1038
Practice Address - Country:US
Practice Address - Phone:910-796-1991
Practice Address - Fax:910-796-1998
Is Sole Proprietor?:No
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC494225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant