Provider Demographics
NPI:1477831089
Name:ROBINSON, KARI LYNN (PT)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:LYNN
Last Name:ROBINSON
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 1:2450 EL CAMINO REAL STE 101
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-1706
Mailing Address - Country:US
Mailing Address - Phone:650-565-8090
Mailing Address - Fax:650-565-8095
Practice Address - Street 1:2450 EL CAMINO REAL STE 101
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-1706
Practice Address - Country:US
Practice Address - Phone:650-565-8090
Practice Address - Fax:650-565-8095
Is Sole Proprietor?:No
Enumeration Date:2011-07-31
Last Update Date:2011-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT22139208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT22139OtherCALIFORNIA STATE LICENSE