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NPI Code Detail

MEDICARE: ERICA J ROBINSON

MEDICARE:   ERICA J ROBINSON
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
1225200000XPhysical Therapy Assistant

General Provider Information

NPI Number : 1558685792
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA J ROBINSON
Provider Business Mailing Address
First Line : PO BOX 131
Second Line :
City : BAYFIELD
State : CO
Zip : 81122-0131
Country : US
Telephone Number : 970-884-0960
Fax Number :
Provider Business Practice Location Address
First Line : 119 BASTILLE DR
Second Line :
City : PAGOSA SPRINGS
State : CO
Zip : 81147-9388
Country : US
Telephone Number : 970-731-4330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2010
Last Update Date : 03/17/2010

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Directions to “ ERICA J ROBINSON ” Practice Location

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