Provider Demographics
NPI:1790763084
Name:ROBINSON, DEBRA RACHAEL (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:RACHAEL
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:14848 MARTINSON RD SE
Mailing Address - Street 2:
Mailing Address - City:YELM
Mailing Address - State:WA
Mailing Address - Zip Code:98597-8520
Mailing Address - Country:US
Mailing Address - Phone:360-960-0712
Mailing Address - Fax:360-894-1768
Practice Address - Street 1:14848 MARTINSON RD SE
Practice Address - Street 2:
Practice Address - City:YELM
Practice Address - State:WA
Practice Address - Zip Code:98597-8520
Practice Address - Country:US
Practice Address - Phone:360-960-0712
Practice Address - Fax:360-894-1768
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-06
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1455225XP0200X
CA8985225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics