Provider Demographics
NPI:1205991395
Name:POPE, ROBERT TODD (OTR-L)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:TODD
Last Name:POPE
Suffix:
Gender:M
Credentials:OTR-L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 BROOKSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:CROPWELL
Mailing Address - State:AL
Mailing Address - Zip Code:35054-3836
Mailing Address - Country:US
Mailing Address - Phone:205-814-4413
Mailing Address - Fax:
Practice Address - Street 1:100 BROOKSHIRE LN
Practice Address - Street 2:
Practice Address - City:CROPWELL
Practice Address - State:AL
Practice Address - Zip Code:35054-3836
Practice Address - Country:US
Practice Address - Phone:205-814-4413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1140225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist