Provider Demographics
NPI:1700227394
Name:ROBINSON, KATHRYN JEANNE (OCCUPATIONAL THERAPY)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:JEANNE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:OCCUPATIONAL THERAPY
Other - Prefix:MRS
Other - First Name:KATHRYN
Other - Middle Name:JEANNE
Other - Last Name:JACOBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:580 SNOWBIRD CIR E
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR
Mailing Address - State:MI
Mailing Address - Zip Code:48079-5582
Mailing Address - Country:US
Mailing Address - Phone:304-669-2828
Mailing Address - Fax:
Practice Address - Street 1:580 SNOWBIRD CIR E
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR
Practice Address - State:MI
Practice Address - Zip Code:48079-5582
Practice Address - Country:US
Practice Address - Phone:304-669-2828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-11
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5202002878225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics