Provider Demographics
NPI:1023070307
Name:KLAWINSKI, ROBBYN (MPT,DPT)
Entity type:Individual
Prefix:MS
First Name:ROBBYN
Middle Name:
Last Name:KLAWINSKI
Suffix:
Gender:F
Credentials:MPT,DPT
Other - Prefix:
Other - First Name:ROBBYN
Other - Middle Name:
Other - Last Name:LUSK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:78 SAGAMORE TRAIL
Mailing Address - Street 2:
Mailing Address - City:MEDFORD LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-2812
Mailing Address - Country:US
Mailing Address - Phone:609-290-6913
Mailing Address - Fax:
Practice Address - Street 1:78 SAGAMORE TRL
Practice Address - Street 2:
Practice Address - City:MEDFORD LAKES
Practice Address - State:NJ
Practice Address - Zip Code:08055-1606
Practice Address - Country:US
Practice Address - Phone:609-290-6913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJQA009796225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist