Provider Demographics
NPI:1114112778
Name:WILHELM, ROBYN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:
Last Name:WILHELM
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2651 W GUADALUPE RD
Mailing Address - Street 2:SUITE #106
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-7249
Mailing Address - Country:US
Mailing Address - Phone:602-316-0571
Mailing Address - Fax:480-247-5510
Practice Address - Street 1:2651 W GUADALUPE RD
Practice Address - Street 2:SUITE #106
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-7249
Practice Address - Country:US
Practice Address - Phone:602-316-0571
Practice Address - Fax:480-247-5510
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-07
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7815225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist