Provider Demographics
NPI:1710063151
Name:ESS, ROBERT JAMES (PT)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:JAMES
Last Name:ESS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:1541 WESTBROOK PLAZA DRIVE
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103
Mailing Address - Country:US
Mailing Address - Phone:336-765-4542
Mailing Address - Fax:336-765-0231
Practice Address - Street 1:1541 WESTBROOK PLAZA DRIVE
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103
Practice Address - Country:US
Practice Address - Phone:336-765-4542
Practice Address - Fax:336-765-0231
Is Sole Proprietor?:No
Enumeration Date:2006-10-28
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC07798OtherBCBS
NC07798OtherBCBS