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NPI Code Detail

MEDICARE: MRS. ASHLEY SUE ROBINSON PTA

MEDICARE: MRS. ASHLEY SUE ROBINSON PTA
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 Assistant5502001668MI

General Provider Information

NPI Number : 1720381718
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ASHLEY SUE ROBINSON PTA
Provider Business Mailing Address
First Line : 2245 W ADAMS RD
Second Line :
City : ALMA
State : MI
Zip : 48801-9702
Country : US
Telephone Number : 989-506-4387
Fax Number :
Provider Business Practice Location Address
First Line : 1222 NORTH DR
Second Line :
City : MOUNT PLEASANT
State : MI
Zip : 48858-3200
Country : US
Telephone Number : 989-779-5552
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2010
Last Update Date : 12/13/2010

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