Provider Demographics
NPI:1851593909
Name:TAYLOR, ROBIN L (PT)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:L
Last Name:TAYLOR
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 1:22 KARLTON CIR
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-4112
Mailing Address - Country:US
Mailing Address - Phone:978-409-2364
Mailing Address - Fax:
Practice Address - Street 1:22 KARLTON CIR
Practice Address - Street 2:SUITE 1C
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-4112
Practice Address - Country:US
Practice Address - Phone:978-409-2364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA15021225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist