Provider Demographics
NPI:1376324947
Name:ROBERTSON, NATALIE KRISTINE (PT, DPT)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:KRISTINE
Last Name:ROBERTSON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 KINGSTON WAY
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-3115
Mailing Address - Country:US
Mailing Address - Phone:925-858-2235
Mailing Address - Fax:
Practice Address - Street 1:806 CAMINO RAMON
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-4277
Practice Address - Country:US
Practice Address - Phone:925-858-2235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-10
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA304114208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation