Provider Demographics
NPI:1740282912
Name:BUDENSTEIN, ROBYN S (PT)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:S
Last Name:BUDENSTEIN
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 1:3219 RAMSGATE RD
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-3215
Mailing Address - Country:US
Mailing Address - Phone:706-831-0793
Mailing Address - Fax:706-309-2814
Practice Address - Street 1:3219 RAMSGATE RD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-3215
Practice Address - Country:US
Practice Address - Phone:706-831-0793
Practice Address - Fax:706-309-2814
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-01
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA5231225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000960593CMedicaid