Provider Demographics
NPI:1841425519
Name:DEACY, ROBIN MELINDA (MS, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:MELINDA
Last Name:DEACY
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 UNIVERSITY BLVD
Mailing Address - Street 2:SUITE 405
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1816
Mailing Address - Country:US
Mailing Address - Phone:205-488-0743
Mailing Address - Fax:205-488-0746
Practice Address - Street 1:1720 UNIVERSITY BLVD
Practice Address - Street 2:SUITE 405
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1816
Practice Address - Country:US
Practice Address - Phone:205-488-0743
Practice Address - Fax:205-488-0746
Is Sole Proprietor?:No
Enumeration Date:2009-05-22
Last Update Date:2009-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2615225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist