Provider Demographics
NPI:1730836917
Name:BILODEAU, ROBIN DAWN
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:DAWN
Last Name:BILODEAU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 COURTLAND DR
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-9184
Mailing Address - Country:US
Mailing Address - Phone:919-274-1750
Mailing Address - Fax:
Practice Address - Street 1:113 HILLCREST DR
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-4020
Practice Address - Country:US
Practice Address - Phone:919-777-0240
Practice Address - Fax:919-777-0499
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-07
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17678225X00000X
NC390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist