Provider Demographics
NPI:1871500728
Name:JARAMILLO, ROBIN B (MED, AT,C)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:B
Last Name:JARAMILLO
Suffix:
Gender:F
Credentials:MED, AT,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 RUSSELL MILL RD
Mailing Address - Street 2:
Mailing Address - City:WOOLWICH TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08085-1809
Mailing Address - Country:US
Mailing Address - Phone:856-241-8462
Mailing Address - Fax:
Practice Address - Street 1:201 KINGS HWY
Practice Address - Street 2:
Practice Address - City:WOOLWICH TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08085-5041
Practice Address - Country:US
Practice Address - Phone:856-467-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MT000399002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer