MEDICARE: ANN ROBBINS 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
1	2251P0200X	Pediatric Physical Therapist	8035	CO

General Provider Information

NPI Number	:	1205113131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN ROBBINS MPT

Provider Business Mailing Address
First Line	:	327 PEYTON DR
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-8258
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	327 PEYTON DR
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-8258
Country	:	US
Telephone Number	:	970-412-0269
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2011
Last Update Date	:	11/06/2011

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