Healthcare Provider Details

I. General information

NPI: 1801103171
Provider Name (Legal Business Name): LORNA J ROBINSON PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LORNA E JOLLEY

II. Dates (important events)

Enumeration Date: 09/08/2010
Last Update Date: 09/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7601 PARKLANE RD NHC PARKLANE
COLUMBIA SC
29223
US

IV. Provider business mailing address

7601 PARKLANE RD NHC PARKLANE
COLUMBIA SC
29223
US

V. Phone/Fax

Practice location:
  • Phone: 803-741-9090
  • Fax: 803-741-1914
Mailing address:
  • Phone: 803-741-9090
  • Fax: 803-741-1914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number4272
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: