Provider Demographics
NPI:1285023424
Name:STEPHENSON, ROBIN-LINDSAY (DPT)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN-LINDSAY
Middle Name:
Last Name:STEPHENSON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MRS
Other - First Name:ROBIN-LINDSAY
Other - Middle Name:
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11310 LEGACY AVE
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-3658
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11310 LEGACY AVE
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-3658
Practice Address - Country:US
Practice Address - Phone:904-699-8299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 29982225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist