MEDICARE: ROBYN MCCROSSIN 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	PT006141L	PA

General Provider Information

NPI Number	:	1699186940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBYN MCCROSSIN PT

Provider Business Mailing Address
First Line	:	1200 CONSTITUTION AVE
Second Line	:	SUITE 210
City	:	PHILADELPHIA
State	:	PA
Zip	:	19112-1329
Country	:	US
Telephone Number	:	267-592-3190
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 CONSTITUTION AVE
Second Line	:	SUITE 210
City	:	PHILADELPHIA
State	:	PA
Zip	:	19112-1329
Country	:	US
Telephone Number	:	267-592-3190
Fax Number	:

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

Provider Enumeration Date	:	05/08/2014
Last Update Date	:	05/08/2014

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