Healthcare Provider Details

I. General information

NPI: 1457961211
Provider Name (Legal Business Name): PAIGE JULIA ROBSON PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2020
Last Update Date: 08/06/2020
Certification Date: 08/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5201 NW 34TH BLVD
GAINESVILLE FL
32605-1153
US

IV. Provider business mailing address

5201 NW 34TH BLVD
GAINESVILLE FL
32605-1153
US

V. Phone/Fax

Practice location:
  • Phone: 352-240-1136
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT35894
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: