Provider Demographics
NPI:1245667146
Name:ROBINSON, JANET SUTTON
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:SUTTON
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 SNAPPER DR
Mailing Address - Street 2:
Mailing Address - City:DESTIN
Mailing Address - State:FL
Mailing Address - Zip Code:32541-2212
Mailing Address - Country:US
Mailing Address - Phone:850-585-6637
Mailing Address - Fax:
Practice Address - Street 1:304 SNAPPER DR
Practice Address - Street 2:
Practice Address - City:DESTIN
Practice Address - State:FL
Practice Address - Zip Code:32541-2212
Practice Address - Country:US
Practice Address - Phone:850-585-6637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-09
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist