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NPI Code Detail

MEDICARE: ANDREA ROBINSON MPT

MEDICARE: ANDREA ROBINSON MPT
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
1225100000XPhysical Therapist6410SC
2225100000XPhysical Therapist003353WV
3225100000XPhysical TherapistPT015920PA

General Provider Information

NPI Number : 1235193202
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA ROBINSON MPT
Provider Business Mailing Address
First Line : 119 BROOKDALE DR
Second Line :
City : MORGANTOWN
State : WV
Zip : 26508-8799
Country : US
Telephone Number : 724-396-1743
Fax Number :
Provider Business Practice Location Address
First Line : 746 FAIRMONT RD
Second Line :
City : WESTOVER
State : WV
Zip : 26501-4060
Country : US
Telephone Number : 304-225-5222
Fax Number : 304-225-5224
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2006
Last Update Date : 07/21/2022

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