Healthcare Provider Details

I. General information

NPI: 1033133673
Provider Name (Legal Business Name): ROBYN SWARTZ PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROBYN LEEANNE COYNE BS PT

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6692 MERCHANDISE WAY #C
DIAMOND SPRINGS CA
95619
US

IV. Provider business mailing address

6692 MERCHANDISE WAY #C
DIAMOND SPRINGS CA
95619
US

V. Phone/Fax

Practice location:
  • Phone: 530-621-1149
  • Fax: 530-626-3049
Mailing address:
  • Phone: 530-621-1149
  • Fax: 530-626-3049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number15408
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: