Healthcare Provider Details

I. General information

NPI: 1114042777
Provider Name (Legal Business Name): ROBIN L CULLIP OTR L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 06/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1831 TRUXTUN AVE SUITE 150
BAKERSFIELD CA
93301-5027
US

IV. Provider business mailing address

1201 23RD ST
BAKERSFIELD CA
93301-2306
US

V. Phone/Fax

Practice location:
  • Phone: 661-326-1433
  • Fax: 661-326-1032
Mailing address:
  • Phone: 661-327-4357
  • Fax: 661-327-2311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT794
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: