Provider Demographics
NPI:1689983140
Name:ROBBINS, LAURA KATHLEEN (DPT)
Entity Type:Individual
Prefix:MISS
First Name:LAURA
Middle Name:KATHLEEN
Last Name:ROBBINS
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 1:41 STANDISH ST
Mailing Address - Street 2:APARTMENT # 2
Mailing Address - City:DORCHESTER CENTER
Mailing Address - State:MA
Mailing Address - Zip Code:02124-1853
Mailing Address - Country:US
Mailing Address - Phone:617-244-1990
Mailing Address - Fax:617-244-1811
Practice Address - Street 1:425 CENTRE ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458-2063
Practice Address - Country:US
Practice Address - Phone:617-244-1990
Practice Address - Fax:617-244-1811
Is Sole Proprietor?:No
Enumeration Date:2010-10-01
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist