Provider Demographics
NPI:1720331093
Name:ROBINSON, JANELLE LYNN (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:JANELLE
Middle Name:LYNN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
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Mailing Address - Street 1:57 WOODHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-2819
Mailing Address - Country:US
Mailing Address - Phone:949-443-9883
Mailing Address - Fax:949-240-3447
Practice Address - Street 1:26284 OSO RD
Practice Address - Street 2:
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-1629
Practice Address - Country:US
Practice Address - Phone:949-443-9883
Practice Address - Fax:949-240-3447
Is Sole Proprietor?:No
Enumeration Date:2012-10-23
Last Update Date:2012-10-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20001225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist