Provider Demographics
NPI:1558719187
Name:ROBLES, CHRISTINE BASS (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:BASS
Last Name:ROBLES
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:DANIELLE
Other - Last Name:BASS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1015 18TH ST NW STE 400
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-5209
Mailing Address - Country:US
Mailing Address - Phone:202-827-8317
Mailing Address - Fax:
Practice Address - Street 1:1015 18TH ST NW STE 400
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5209
Practice Address - Country:US
Practice Address - Phone:202-827-8317
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-24
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305209770225100000X
DCPT871867225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist