Healthcare Provider Details

I. General information

NPI: 1982842068
Provider Name (Legal Business Name): ROBIN PADGETT COF, CFM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2009
Last Update Date: 12/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

645 COX RD
GASTONIA NC
28054-0649
US

IV. Provider business mailing address

2800 SAINT LEO ST
GREENSBORO NC
27405-3382
US

V. Phone/Fax

Practice location:
  • Phone: 704-852-9823
  • Fax: 704-853-1055
Mailing address:
  • Phone: 336-621-9500
  • Fax: 336-621-0980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: