Provider Demographics
NPI:1649332610
Name:KIRKLEY, ROBYN RANEE (OTRL)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:RANEE
Last Name:KIRKLEY
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8980 TARA LN
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-8205
Mailing Address - Country:US
Mailing Address - Phone:334-737-3714
Mailing Address - Fax:
Practice Address - Street 1:1819 PEPPERELL PKWY STE 201
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-5476
Practice Address - Country:US
Practice Address - Phone:334-741-9952
Practice Address - Fax:334-741-9870
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0961225X00000X
GAOT001507225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist