Provider Demographics
NPI:1306966452
Name:NABER, ROBERT IRWIN (PT, OCS, ATC)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:IRWIN
Last Name:NABER
Suffix:
Gender:M
Credentials:PT, OCS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 LOS GATOS BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-5541
Mailing Address - Country:US
Mailing Address - Phone:408-358-0871
Mailing Address - Fax:
Practice Address - Street 1:15047 LOS GATOS BLVD
Practice Address - Street 2:SUITE 180
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-2054
Practice Address - Country:US
Practice Address - Phone:408-358-6505
Practice Address - Fax:408-358-6404
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT125572251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic