Provider Demographics
NPI:1275781940
Name:ROBERTSON-KNOBL, ERIN MARIE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:MARIE
Last Name:ROBERTSON-KNOBL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MRS
Other - First Name:ERIN
Other - Middle Name:MARIE
Other - Last Name:ROBERTSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:312 W 89TH ST
Mailing Address - Street 2:APT 7
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-2120
Mailing Address - Country:US
Mailing Address - Phone:917-370-1735
Mailing Address - Fax:
Practice Address - Street 1:312 W 89TH ST
Practice Address - Street 2:APT 7
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-2120
Practice Address - Country:US
Practice Address - Phone:917-370-1735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-05
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015168-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist