Provider Demographics
NPI:1871838094
Name:ROBINSON, ERIC JASON (DPT)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:JASON
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 SOSCOL AVENUE
Mailing Address - Street 2:SUITE B191
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-4040
Mailing Address - Country:US
Mailing Address - Phone:707-224-3131
Mailing Address - Fax:707-224-2356
Practice Address - Street 1:433 SOSCOL AVENUE
Practice Address - Street 2:SUITE B191
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-4040
Practice Address - Country:US
Practice Address - Phone:707-224-3131
Practice Address - Fax:707-224-2356
Is Sole Proprietor?:No
Enumeration Date:2012-11-28
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT39595225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist