Healthcare Provider Details

I. General information

NPI: 1912003872
Provider Name (Legal Business Name): CATHERINE ROBINSON RRT,RCP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6605 BURGENFIELD DR
FAYETTEVILLE NC
28314-1804
US

IV. Provider business mailing address

6605 BURGENFIELD DR
FAYETTEVILLE NC
28314-1804
US

V. Phone/Fax

Practice location:
  • Phone: 910-864-7481
  • Fax:
Mailing address:
  • Phone: 910-864-7481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberA2031
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: