Provider Demographics
NPI:1609906296
Name:OCEGUERA, ROBIN J (PT)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:J
Last Name:OCEGUERA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:J
Other - Last Name:GILES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1326 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:ZACHARY
Mailing Address - State:LA
Mailing Address - Zip Code:70791-2743
Mailing Address - Country:US
Mailing Address - Phone:225-654-8208
Mailing Address - Fax:225-465-8823
Practice Address - Street 1:4314 S SHERWOOD FOREST BLVD.
Practice Address - Street 2:STE A150
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-4458
Practice Address - Country:US
Practice Address - Phone:225-275-3177
Practice Address - Fax:225-465-8823
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist