Provider Demographics
NPI:1902014087
Name:HAI, ROBERT ANTHONY (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:ANTHONY
Last Name:HAI
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 VALDEZ ST
Mailing Address - Street 2:UNIT 440
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-3158
Mailing Address - Country:US
Mailing Address - Phone:832-526-4577
Mailing Address - Fax:
Practice Address - Street 1:2450 VALDEZ ST
Practice Address - Street 2:UNIT 440
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-3158
Practice Address - Country:US
Practice Address - Phone:832-526-4577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2020-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA292881225100000X
TX1158430225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty