MEDICARE: ALLISON ROBINS DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	41115	CA

General Provider Information

NPI Number	:	1023417367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON ROBINS DPT

Provider Business Mailing Address
First Line	:	7275 CHARMANT DR UNIT 328
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92122-4387
Country	:	US
Telephone Number	:	509-520-0471
Fax Number	:

Provider Business Practice Location Address
First Line	:	2041 NEWCASTLE AVE
Second Line	:
City	:	CARDIFF
State	:	CA
Zip	:	92007-1762
Country	:	US
Telephone Number	:	760-655-4336
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2014
Last Update Date	:	08/21/2014

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