Provider Demographics
NPI:1710035845
Name:ROBINSON, CATHY E (RN, LMT)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:E
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:RN, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30876 ELM DR
Mailing Address - Street 2:EDGEWATER ESTATES
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-3845
Mailing Address - Country:US
Mailing Address - Phone:302-645-7073
Mailing Address - Fax:
Practice Address - Street 1:34445 KING STREET ROW
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-4787
Practice Address - Country:US
Practice Address - Phone:302-645-2833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEMT-0001076225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist