Provider Demographics
NPI:1659684744
Name:ISGAN, ROBYN FAITH (DPT)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:FAITH
Last Name:ISGAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 ELWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15522-2014
Mailing Address - Country:US
Mailing Address - Phone:814-285-0969
Mailing Address - Fax:
Practice Address - Street 1:201 HOSPITAL DR STE 2
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:PA
Practice Address - Zip Code:15537-7019
Practice Address - Country:US
Practice Address - Phone:814-623-6432
Practice Address - Fax:814-623-2449
Is Sole Proprietor?:No
Enumeration Date:2010-07-19
Last Update Date:2024-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA020772225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA188193R9XMedicare Oscar/Certification