Provider Demographics
NPI:1588002190
Name:ROBYN COLLEY, OTR/L, LLC
Entity Type:Organization
Organization Name:ROBYN COLLEY, OTR/L, LLC
Other - Org Name:COLLEY OT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLEY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:407-636-6924
Mailing Address - Street 1:2989 W STATE ROAD 434
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-4463
Mailing Address - Country:US
Mailing Address - Phone:407-636-6924
Mailing Address - Fax:407-982-3357
Practice Address - Street 1:2989 W STATE ROAD 434
Practice Address - Street 2:SUITE 200
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-4463
Practice Address - Country:US
Practice Address - Phone:407-636-6924
Practice Address - Fax:407-982-3357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-06
Last Update Date:2014-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty