Provider Demographics
NPI:1245417021
Name:HAMBLIN TAYLOR, ROBERT RYAN SR (DPT)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:RYAN
Last Name:HAMBLIN TAYLOR
Suffix:SR
Gender:M
Credentials:DPT
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Mailing Address - Street 1:PO BOX 150441
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33915-0441
Mailing Address - Country:US
Mailing Address - Phone:707-245-8065
Mailing Address - Fax:239-599-4377
Practice Address - Street 1:632 DEL PRADO BLVD N STE 100
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-2278
Practice Address - Country:US
Practice Address - Phone:239-772-5577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-24
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL225100000X
CA24992225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist