Provider Demographics
NPI:1235621376
Name:ROBBINS, GRAHAM (PT)
Entity Type:Individual
Prefix:MR
First Name:GRAHAM
Middle Name:
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1632 SAVANNAH RD STE 8
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1659
Mailing Address - Country:US
Mailing Address - Phone:302-703-0800
Mailing Address - Fax:302-703-0740
Practice Address - Street 1:1632 SAVANNAH RD STE 8
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1659
Practice Address - Country:US
Practice Address - Phone:302-703-0800
Practice Address - Fax:302-703-0740
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-05
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0000984225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist