MEDICARE: MRS. ROBIN HENSLEY GRAVES PT

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	2305004292	VA

General Provider Information

NPI Number	:	1518995653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ROBIN HENSLEY GRAVES PT

Provider Business Mailing Address
First Line	:	424 COMMERCE RD
Second Line	:
City	:	STAUNTON
State	:	VA
Zip	:	24401-4432
Country	:	US
Telephone Number	:	540-887-8007
Fax Number	:	540-908-3901

Provider Business Practice Location Address
First Line	:	424 COMMERCE RD
Second Line	:
City	:	STAUNTON
State	:	VA
Zip	:	24401-4432
Country	:	US
Telephone Number	:	540-887-8007
Fax Number	:	540-908-3901

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

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	04/01/2015

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