Provider Demographics
NPI:1629517974
Name:GADBOIS, ROBYN (ATC)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:
Last Name:GADBOIS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 PORTLAND RD
Mailing Address - Street 2:UNIT 5
Mailing Address - City:KENNEBUNK
Mailing Address - State:ME
Mailing Address - Zip Code:04043-6742
Mailing Address - Country:US
Mailing Address - Phone:207-985-6181
Mailing Address - Fax:207-985-6239
Practice Address - Street 1:65 PORTLAND RD
Practice Address - Street 2:UNIT 5
Practice Address - City:KENNEBUNK
Practice Address - State:ME
Practice Address - Zip Code:04043-6742
Practice Address - Country:US
Practice Address - Phone:207-985-6181
Practice Address - Fax:207-985-6239
Is Sole Proprietor?:No
Enumeration Date:2017-02-20
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAT3992255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer