Provider Demographics
NPI:1669482899
Name:ROBSON, SANDRA K (PT)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:K
Last Name:ROBSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5110 THUNDER HILL RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-1910
Mailing Address - Country:US
Mailing Address - Phone:410-997-4246
Mailing Address - Fax:
Practice Address - Street 1:6300 WOODSIDE CT
Practice Address - Street 2:SUITE 5
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-1098
Practice Address - Country:US
Practice Address - Phone:410-312-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16152225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist