Provider Demographics
NPI:1588115349
Name:ROBB, JANICE (OTR)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:ROBB
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2604 TEAKWOOD LN
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-2049
Mailing Address - Country:US
Mailing Address - Phone:972-342-6185
Mailing Address - Fax:
Practice Address - Street 1:2604 TEAKWOOD LN
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-2049
Practice Address - Country:US
Practice Address - Phone:972-342-6185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-17
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112027225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist