MEDICARE: TATUM F ROBINSON 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	225100000X	Physical Therapist	8956	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326198854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TATUM F ROBINSON MPT

Provider Business Mailing Address
First Line	:	290 N NC 16 BUSINESS HWY
Second Line	:
City	:	DENVER
State	:	NC
Zip	:	28037-8011
Country	:	US
Telephone Number	:	704-483-0777
Fax Number	:	704-483-1883

Provider Business Practice Location Address
First Line	:	298 N HIGHWAY 16
Second Line	:	SUITE C
City	:	DENVER
State	:	NC
Zip	:	28037-8011
Country	:	US
Telephone Number	:	704-483-0777
Fax Number	:	704-483-1883

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

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	10/10/2017

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Directions to “ TATUM F ROBINSON MPT” Practice Location

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