Provider Demographics
NPI:1760753750
Name:ROBBINS, JANET S (PT)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:S
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 S BUNGALOW PARK AVE
Mailing Address - Street 2:UNIT C
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-3159
Mailing Address - Country:US
Mailing Address - Phone:813-879-4661
Mailing Address - Fax:
Practice Address - Street 1:2916 HABANA WAY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-7108
Practice Address - Country:US
Practice Address - Phone:813-227-4347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-23
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT13938225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist