MEDICARE: KAREN ROBINSON MSR, PT

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	2251P0200X	Pediatric Physical Therapist	5313	SC

General Provider Information

NPI Number	:	1174537351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN ROBINSON MSR, PT

Provider Business Mailing Address
First Line	:	9225 UNIVERSITY BLVD
Second Line	:	STE. D
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-9149
Country	:	US
Telephone Number	:	843-569-4546
Fax Number	:	843-569-4535

Provider Business Practice Location Address
First Line	:	9225 UNIVERSITY BLVD
Second Line	:	STE. D
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-9149
Country	:	US
Telephone Number	:	843-569-4546
Fax Number	:	843-569-4535

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

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	07/08/2007

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