Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBBIE BACON, PTA,CLT
ActiveROBBIE BACON, PTA,CLT is a Occupational Therapist healthcare provider located in MALAGA, New Jersey. NPI 1548659972 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MALAGA, NJ
Registration Details
- NPI Number
- 1548659972
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 22, 2015 (11.538937476502 yrs)
- Last Updated
- Jan 22, 2015
- License
-
40QBOO283300 (NJ)
Practice Information
- Address
-
10 DEFIANCE RDMALAGA, NJ, 083284324Browse NJ providers · Browse ZIP 08328
- Phone
- 8567938662
- Primary Specialty
-
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.