Provider Demographics
NPI:1750715074
Name:UAGBOR ROBLIN, JESSICA I (PT)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:I
Last Name:UAGBOR ROBLIN
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 1:3305 N LEISURE WORLD BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-1367
Mailing Address - Country:US
Mailing Address - Phone:301-438-6280
Mailing Address - Fax:301-438-6281
Practice Address - Street 1:3305 N LEISURE WORLD BLVD STE 200
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906
Practice Address - Country:US
Practice Address - Phone:301-438-6280
Practice Address - Fax:301-438-6281
Is Sole Proprietor?:No
Enumeration Date:2013-08-22
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist