Provider Demographics
NPI:1053536573
Name:WALDRON, ROBIN MARIE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:MARIE
Last Name:WALDRON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6308 OAK FOREST CT
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27358-9511
Mailing Address - Country:US
Mailing Address - Phone:336-643-1872
Mailing Address - Fax:336-271-4921
Practice Address - Street 1:1904 N CHURCH ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-5632
Practice Address - Country:US
Practice Address - Phone:336-271-4840
Practice Address - Fax:336-271-4921
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2110225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist