Provider Demographics
NPI:1558392001
Name:GIVENS, ROBIN RENA (RPT)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:RENA
Last Name:GIVENS
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:RENA
Other - Last Name:GIVENS-BANKS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPT
Mailing Address - Street 1:4231 BLAGDEN AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-4253
Mailing Address - Country:US
Mailing Address - Phone:202-882-0970
Mailing Address - Fax:202-882-4080
Practice Address - Street 1:4231 BLAGDEN AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-4253
Practice Address - Country:US
Practice Address - Phone:202-882-0970
Practice Address - Fax:202-882-4080
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC2855225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist