Provider Demographics
NPI:1861766362
Name:TOMLIN, ROBIN RAINSFORD
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:RAINSFORD
Last Name:TOMLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:RAINSFORD
Other - Last Name:WARREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT, CLT
Mailing Address - Street 1:507 NW 60TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-6027
Mailing Address - Country:US
Mailing Address - Phone:808-563-0834
Mailing Address - Fax:
Practice Address - Street 1:507 NW 60TH ST STE A
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-6027
Practice Address - Country:US
Practice Address - Phone:808-563-0834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-01
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT-27765225100000X, 225100000X
CAPT-38873225100000X
ORPT-06960225100000X
WAPT-60305413225100000X
GAPT-010805225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist