Provider Demographics
NPI:1154511475
Name:ROBINSON, DEANNE
Entity Type:Individual
Prefix:MISS
First Name:DEANNE
Middle Name:
Last Name:ROBINSON
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 1:1805 S BALSAM ST
Mailing Address - Street 2:THERAPY DEPARTMENT
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-6700
Mailing Address - Country:US
Mailing Address - Phone:303-980-5500
Mailing Address - Fax:303-987-1185
Practice Address - Street 1:1805 S BALSAM ST
Practice Address - Street 2:THERAPY DEPARTMENT
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-6700
Practice Address - Country:US
Practice Address - Phone:303-980-5500
Practice Address - Fax:303-987-1185
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant