Provider Demographics
NPI:1740361310
Name:ROBB, RACHEL JANE (MPT)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:JANE
Last Name:ROBB
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 INNOVATION DRIVE
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15717-8096
Mailing Address - Country:US
Mailing Address - Phone:724-343-4060
Mailing Address - Fax:724-343-4069
Practice Address - Street 1:1022 BLAKESLEE BOULEVARD DR E
Practice Address - Street 2:
Practice Address - City:LEHIGHTON
Practice Address - State:PA
Practice Address - Zip Code:18235-8726
Practice Address - Country:US
Practice Address - Phone:610-377-5845
Practice Address - Fax:610-377-6112
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015131225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA820373OtherBCNE/FIRST PRIORITY HEALT
PA001526012OtherHIGHMARK
PA50062553OtherTRICARE
PA7385383OtherAETNA
PA50062553OtherTRICARE