Provider Demographics
NPI:1912013863
Name:ROBINSON, ANNE MARIE (PT)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:MARIE
Last Name:ROBINSON
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 1:201 CHARTER OAKS CIRCLE
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1806
Mailing Address - Country:US
Mailing Address - Phone:408-410-5781
Mailing Address - Fax:408-378-2438
Practice Address - Street 1:777 KNOWLES DR
Practice Address - Street 2:SUITE 6B
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1806
Practice Address - Country:US
Practice Address - Phone:408-410-5781
Practice Address - Fax:408-378-2438
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT13002225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0PT130020OtherPT LICENSE
0PT130021Medicare ID - Type Unspecified