Provider Demographics
NPI:1356592885
Name:ZDILLA, ROBYN LYNN (OTR/L)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:LYNN
Last Name:ZDILLA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 SAINT JOHNSBURY CT
Mailing Address - Street 2:
Mailing Address - City:CHESTER SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:19425-8710
Mailing Address - Country:US
Mailing Address - Phone:484-888-1575
Mailing Address - Fax:
Practice Address - Street 1:1105 PERRY HWY
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-2114
Practice Address - Country:US
Practice Address - Phone:412-369-9955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-02
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC003218L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist