Provider Demographics
NPI:1992016067
Name:BAKER, ROBYN L (PT)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:L
Last Name:BAKER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4212 E SOUTHCROSS BLVD
Mailing Address - Street 2:110
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78222-3735
Mailing Address - Country:US
Mailing Address - Phone:210-297-3725
Mailing Address - Fax:210-297-0315
Practice Address - Street 1:4212 E SOUTHCROSS BLVD
Practice Address - Street 2:110
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78222-3735
Practice Address - Country:US
Practice Address - Phone:210-297-3725
Practice Address - Fax:210-297-0315
Is Sole Proprietor?:No
Enumeration Date:2010-06-23
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1053577225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist