Provider Demographics
NPI:1265464358
Name:DOW, ROBIN KORY (PT)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:KORY
Last Name:DOW
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 1:610 W LUELLEN DR
Mailing Address - Street 2:
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97470-2618
Mailing Address - Country:US
Mailing Address - Phone:541-957-0500
Mailing Address - Fax:541-957-0501
Practice Address - Street 1:610 W LUELLEN DR
Practice Address - Street 2:
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97470-2618
Practice Address - Country:US
Practice Address - Phone:541-957-0500
Practice Address - Fax:541-957-0501
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1406225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR134951Medicare PIN