Provider Demographics
NPI:1801911227
Name:SOPHER, ROBIN ANN (PT,DPT)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:ANN
Last Name:SOPHER
Suffix:
Gender:F
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8730 SHILLINGTON DR
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-9596
Mailing Address - Country:US
Mailing Address - Phone:614-789-9996
Mailing Address - Fax:
Practice Address - Street 1:7798 LIBERTY RD N
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-9707
Practice Address - Country:US
Practice Address - Phone:614-293-1008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH06098225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist