Provider Demographics
NPI:1588208151
Name:ROBISON, EUGENE WILLIAM JR (OTR/L)
Entity Type:Individual
Prefix:
First Name:EUGENE
Middle Name:WILLIAM
Last Name:ROBISON
Suffix:JR
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3167 STONYRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-1358
Mailing Address - Country:US
Mailing Address - Phone:740-877-2969
Mailing Address - Fax:
Practice Address - Street 1:1801 FOLKEMER CIR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-1771
Practice Address - Country:US
Practice Address - Phone:717-650-1140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-06
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC016116225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist