Provider Demographics
NPI:1952795551
Name:ROBBINS, STEFANIA (PT)
Entity Type:Individual
Prefix:
First Name:STEFANIA
Middle Name:
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:STEFANIA
Other - Middle Name:
Other - Last Name:JARVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:8477 S SUNCOAST BLVD
Mailing Address - Street 2:
Mailing Address - City:HOMOSASSA
Mailing Address - State:FL
Mailing Address - Zip Code:34446-5028
Mailing Address - Country:US
Mailing Address - Phone:352-382-1141
Mailing Address - Fax:
Practice Address - Street 1:8455 S SUNCOAST BLVD
Practice Address - Street 2:
Practice Address - City:HOMOSASSA
Practice Address - State:FL
Practice Address - Zip Code:34446-5066
Practice Address - Country:US
Practice Address - Phone:352-382-1141
Practice Address - Fax:352-382-7781
Is Sole Proprietor?:No
Enumeration Date:2015-03-23
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT30151225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist