Provider Demographics
NPI:1326540352
Name:ANTOYAN, ROBYN (ATC)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:
Last Name:ANTOYAN
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1549 PLACENTIA AVE APT 116
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-2888
Mailing Address - Country:US
Mailing Address - Phone:559-974-7104
Mailing Address - Fax:
Practice Address - Street 1:1549 PLACENTIA AVE APT 116
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-2888
Practice Address - Country:US
Practice Address - Phone:559-974-7104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-06
Last Update Date:2022-10-27
Deactivation Date:2021-01-20
Deactivation Code:
Reactivation Date:2022-10-27
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer