Provider Demographics
NPI:1285173484
Name:BROWN, ROBIN
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 SLEEPY HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:CASTLE SHANNON
Mailing Address - State:PA
Mailing Address - Zip Code:15234-2221
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:945 SLEEPY HOLLOW RD
Practice Address - Street 2:
Practice Address - City:CASTLE SHANNON
Practice Address - State:PA
Practice Address - Zip Code:15234-2221
Practice Address - Country:US
Practice Address - Phone:724-858-7552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-21
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP006690224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant