Provider Demographics
NPI:1134533276
Name:ROBBINS, CHARITY (LPTA)
Entity type:Individual
Prefix:
First Name:CHARITY
Middle Name:
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8210 JUBAL EARLY HWY
Mailing Address - Street 2:
Mailing Address - City:HARDY
Mailing Address - State:VA
Mailing Address - Zip Code:24101-6030
Mailing Address - Country:US
Mailing Address - Phone:540-580-2529
Mailing Address - Fax:
Practice Address - Street 1:8210 JUBAL EARLY HWY
Practice Address - Street 2:
Practice Address - City:HARDY
Practice Address - State:VA
Practice Address - Zip Code:24101-6030
Practice Address - Country:US
Practice Address - Phone:540-580-2529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-17
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2306603560225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant