Provider Demographics
NPI:1871708040
Name:PINCHES, ROBIN BOLINDER (PT)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:BOLINDER
Last Name:PINCHES
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 1:422 WAVERLY AVE
Mailing Address - Street 2:
Mailing Address - City:CLARKS SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18411-1072
Mailing Address - Country:US
Mailing Address - Phone:570-586-8966
Mailing Address - Fax:
Practice Address - Street 1:880 SR6W
Practice Address - Street 2:TYLER MEMORIAL HOSPITAL
Practice Address - City:TUNKHANNOCK
Practice Address - State:PA
Practice Address - Zip Code:18657
Practice Address - Country:US
Practice Address - Phone:570-836-7753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT002298E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist