Provider Demographics
NPI:1487702429
Name:ROBB, MARIE ELAINE (PT)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:ELAINE
Last Name:ROBB
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 N MARKET ST
Mailing Address - Street 2:
Mailing Address - City:EAST PALESTINE
Mailing Address - State:OH
Mailing Address - Zip Code:44413-2155
Mailing Address - Country:US
Mailing Address - Phone:330-426-3109
Mailing Address - Fax:
Practice Address - Street 1:709 ARMSTRONG LN
Practice Address - Street 2:
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-1245
Practice Address - Country:US
Practice Address - Phone:330-386-4168
Practice Address - Fax:330-386-4168
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT 008676225100000X
PAPT 009636L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist