MEDICARE: JASMINE DANIELLE ROBBINS

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	PTH9295	AL

General Provider Information

NPI Number	:	1336779107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASMINE DANIELLE ROBBINS

Provider Business Mailing Address
First Line	:	2200 VAUGHN LAKES BLVD APT 2202
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-4162
Country	:	US
Telephone Number	:	810-444-2705
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 VAUGHN LAKES BLVD APT 2202
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-4162
Country	:	US
Telephone Number	:	810-444-2705
Fax Number	:

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

Provider Enumeration Date	:	01/21/2020
Last Update Date	:	03/01/2024

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Directions to “ JASMINE DANIELLE ROBBINS ” Practice Location

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