Individual
ROBYN M PESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2881
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067013000
BLUE CROSS
OR
01
—
327803000001
PROVIDENCE
—
Enumeration date
12/15/2006
Last updated
09/20/2010
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