Provider Demographics
NPI:1912540816
Name:ROBIN ANGUS PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:ROBIN ANGUS PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGUS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:206-356-5106
Mailing Address - Street 1:6127 84TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-4936
Mailing Address - Country:US
Mailing Address - Phone:206-356-5106
Mailing Address - Fax:
Practice Address - Street 1:6127 84TH AVE SE
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-4936
Practice Address - Country:US
Practice Address - Phone:206-356-5106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-23
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy