Provider Demographics
NPI:1043653488
Name:ROBINET PHYSICAL THERAPY
Entity Type:Organization
Organization Name:ROBINET PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ROBINET
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:616-866-2727
Mailing Address - Street 1:11561 EDGERTON AVE NE
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49341-9150
Mailing Address - Country:US
Mailing Address - Phone:616-866-2727
Mailing Address - Fax:616-866-2729
Practice Address - Street 1:11561 EDGERTON AVE NE
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:MI
Practice Address - Zip Code:49341-9150
Practice Address - Country:US
Practice Address - Phone:616-866-2727
Practice Address - Fax:616-866-2729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-16
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty