Provider Demographics
NPI:1164591525
Name:TOBIAS, ROBIN J
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:J
Last Name:TOBIAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:J
Other - Last Name:TOBIAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPT
Mailing Address - Street 1:1225 CRANE STREET
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4253
Mailing Address - Country:US
Mailing Address - Phone:650-323-3001
Mailing Address - Fax:650-323-7986
Practice Address - Street 1:1225 CRANE STREET
Practice Address - Street 2:SUITE 105
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4253
Practice Address - Country:US
Practice Address - Phone:650-323-3001
Practice Address - Fax:650-323-7986
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 7558225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist