Provider Demographics
NPI:1124076898
Name:VOLSKI, ROBERT VINCENT (PT,MTC)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:VINCENT
Last Name:VOLSKI
Suffix:
Gender:M
Credentials:PT,MTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12734 KENWOOD LN
Mailing Address - Street 2:SUITE 56
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-5638
Mailing Address - Country:US
Mailing Address - Phone:239-936-4404
Mailing Address - Fax:239-936-5156
Practice Address - Street 1:12734 KENWOOD LN
Practice Address - Street 2:SUITE 56
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-5638
Practice Address - Country:US
Practice Address - Phone:239-936-4404
Practice Address - Fax:239-936-5156
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT1852225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY90HDOtherBC/BS
FLY90HDOtherBC/BS