Provider Demographics
NPI:1811951809
Name:THOMPSON, ROBYN STACY (MPT)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:STACY
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3150 COON CLUB RD
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:MD
Mailing Address - Zip Code:21074-1704
Mailing Address - Country:US
Mailing Address - Phone:410-374-9385
Mailing Address - Fax:
Practice Address - Street 1:914 WASHINGTON RD
Practice Address - Street 2:SUITE D
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5844
Practice Address - Country:US
Practice Address - Phone:410-848-1722
Practice Address - Fax:410-848-4079
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20071225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist