Healthcare Provider Details

I. General information

NPI: 1437808409
Provider Name (Legal Business Name): ROBIN TANZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2022
Last Update Date: 12/09/2024
Certification Date: 12/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 RAY C. HUNT DRIVE SUITE 2100
CHARLOTTESVILLE VA
22903
US

IV. Provider business mailing address

545 RAY C. HUNT DRIVE SUITE 2100
CHARLOTTESVILLE VA
22903
US

V. Phone/Fax

Practice location:
  • Phone: 434-297-9700
  • Fax:
Mailing address:
  • Phone: 434-297-9700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: