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NPI Code Detail

MEDICARE: CARMEN ROBINSON

MEDICARE:   CARMEN  ROBINSON
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
1225200000XPhysical Therapy Assistant2306603690VA

General Provider Information

NPI Number : 1679903249
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARMEN ROBINSON
Provider Business Mailing Address
First Line : 3729 PUREBRED DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23453-8512
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3729 PUREBRED DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23453
Country : US
Telephone Number : 757-376-2154
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2013
Last Update Date : 11/19/2013

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Directions to “ CARMEN ROBINSON ” Practice Location

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