Healthcare Provider Details

I. General information

NPI: 1720189152
Provider Name (Legal Business Name): ROBYN DABELL PHYSICAL THERAPIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 03/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

563 MADISON AVE N
BAINBRIDGE ISLAND WA
98110-1768
US

IV. Provider business mailing address

563 MADISON AVE N
BAINBRIDGE ISLAND WA
98110-1768
US

V. Phone/Fax

Practice location:
  • Phone: 206-855-8455
  • Fax: 206-855-8465
Mailing address:
  • Phone: 206-855-8455
  • Fax: 206-855-8465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT00007979
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: