Provider Demographics
NPI:1962648220
Name:CALDWELL BELLAVIA, ROBYN LINDSEY (DPT)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:LINDSEY
Last Name:CALDWELL BELLAVIA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 CULVER AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-2239
Mailing Address - Country:US
Mailing Address - Phone:843-813-0226
Mailing Address - Fax:
Practice Address - Street 1:335 CULVER AVE
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-2239
Practice Address - Country:US
Practice Address - Phone:843-813-0226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5845225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist