Provider Demographics
NPI:1669058673
Name:ROBISCOE, KAREN (CES)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:ROBISCOE
Suffix:
Gender:F
Credentials:CES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1138 N PATTERSON AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-1136
Mailing Address - Country:US
Mailing Address - Phone:805-964-4629
Mailing Address - Fax:
Practice Address - Street 1:1138 N PATTERSON AVE
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-1136
Practice Address - Country:US
Practice Address - Phone:805-335-7662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-20
Last Update Date:2021-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12005527312255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer