Provider Demographics
NPI: | 1174581177 |
---|---|
Name: | HUFF, ROBYN (OTR/L) |
Entity type: | Individual |
Prefix: | |
First Name: | ROBYN |
Middle Name: | |
Last Name: | HUFF |
Suffix: | |
Gender: | F |
Credentials: | OTR/L |
Other - Prefix: | |
Other - First Name: | ROBYN |
Other - Middle Name: | |
Other - Last Name: | DUKEMAN |
Other - Suffix: | |
Other - Last Name Type: | Former Name |
Other - Credentials: | OTR/L |
Mailing Address - Street 1: | 17493 48TH CT N |
Mailing Address - Street 2: | |
Mailing Address - City: | LOXAHATCHEE |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33470-3528 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 561-792-1183 |
Mailing Address - Fax: | 561-792-7097 |
Practice Address - Street 1: | 7111 LAKE WORTH RD |
Practice Address - Street 2: | |
Practice Address - City: | LAKE WORTH |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33467-2906 |
Practice Address - Country: | US |
Practice Address - Phone: | 561-966-7950 |
Practice Address - Fax: | 561-514-8346 |
Is Sole Proprietor?: | Not Answered |
Enumeration Date: | 2006-05-02 |
Last Update Date: | 2007-07-08 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
FL | OT0002642 | 225X00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
FL | OT0002642 | Other | OCCUPATIONAL THERAPY LIC |
FL | Z0225 | Medicare ID - Type Unspecified | OCCUPATIONAL THERAPY |