Provider Demographics
NPI:1689251753
Name:FLEMING, ROBYN JEAN (OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:ROBYN
Middle Name:JEAN
Last Name:FLEMING
Suffix:
Gender:F
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 1:3353 BRYAN AVE
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-1403
Mailing Address - Country:US
Mailing Address - Phone:805-390-5318
Mailing Address - Fax:
Practice Address - Street 1:3353 BRYAN AVE
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-1403
Practice Address - Country:US
Practice Address - Phone:805-390-5318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-25
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22226225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist