Provider Demographics
NPI:1932666278
Name:ROBISON, JOSEPH (PT, DPT, MSC, NCS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:ROBISON
Suffix:
Gender:M
Credentials:PT, DPT, MSC, NCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 WOODROW WILSON DR STE C
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-2583
Mailing Address - Country:US
Mailing Address - Phone:229-262-4075
Mailing Address - Fax:229-262-4076
Practice Address - Street 1:111 WOODROW WILSON DR STE C
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-2583
Practice Address - Country:US
Practice Address - Phone:229-262-4075
Practice Address - Fax:229-262-4076
Is Sole Proprietor?:No
Enumeration Date:2019-02-22
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT0123222251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology