Provider Demographics
NPI:1083326383
Name:ROBINSON, DAVID OWEN (CCA, CPED)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:OWEN
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:CCA, CPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 BROAD ST STE 108
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-3573
Mailing Address - Country:US
Mailing Address - Phone:919-802-8020
Mailing Address - Fax:
Practice Address - Street 1:1200 BROAD ST STE 108
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-3573
Practice Address - Country:US
Practice Address - Phone:919-802-8020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes229N00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersAnaplastologist
No224L00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPedorthist