Provider Demographics
NPI:1356514509
Name:KLABOE, ROBYN MARIE (COTA)
Entity type:Individual
Prefix:MRS
First Name:ROBYN
Middle Name:MARIE
Last Name:KLABOE
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:MS
Other - First Name:ROBYN
Other - Middle Name:MARIE
Other - Last Name:BOND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:COTA
Mailing Address - Street 1:503 7TH AVE E
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:WI
Mailing Address - Zip Code:54806-1911
Mailing Address - Country:US
Mailing Address - Phone:715-292-4311
Mailing Address - Fax:715-682-9728
Practice Address - Street 1:503 7TH AVE E
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:WI
Practice Address - Zip Code:54806-1911
Practice Address - Country:US
Practice Address - Phone:715-292-4311
Practice Address - Fax:715-682-9728
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1076-027224Z00000X
MI5202006874224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant