Provider Demographics
NPI:1164661187
Name:ROBBINS, DANIELLE TERESE (PT)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:TERESE
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11009 VIACHA DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92124-3424
Mailing Address - Country:US
Mailing Address - Phone:858-945-4659
Mailing Address - Fax:
Practice Address - Street 1:11009 VIACHA DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92124-3424
Practice Address - Country:US
Practice Address - Phone:858-945-4659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-13
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18448174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist