Provider Demographics
NPI:1073746111
Name:ROBBINS, DANIELLE T (DPT)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:T
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 LORILLARD AVE
Mailing Address - Street 2:
Mailing Address - City:UNION BEACH
Mailing Address - State:NJ
Mailing Address - Zip Code:07735-3218
Mailing Address - Country:US
Mailing Address - Phone:732-264-0104
Mailing Address - Fax:
Practice Address - Street 1:55 MORRIS ST
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1334
Practice Address - Country:US
Practice Address - Phone:732-545-0494
Practice Address - Fax:732-545-0498
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-24
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01324300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist