MEDICARE: RONALD CHRISTOPHER ROBINSON PT, DPT

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	174400000X	Specialist	40QA01100600	NJ
2	225100000X	Physical Therapist	40QA01100600	NJ

General Provider Information

NPI Number	:	1811930282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD CHRISTOPHER ROBINSON PT, DPT

Provider Business Mailing Address
First Line	:	224 STRAWBRIDGE DR STE 100
Second Line	:
City	:	MOORESTOWN
State	:	NJ
Zip	:	08057-4602
Country	:	US
Telephone Number	:	856-677-4000
Fax Number	:	856-234-3014

Provider Business Practice Location Address
First Line	:	23659 COLUMBUS RD STE 3
Second Line	:
City	:	COLUMBUS
State	:	NJ
Zip	:	08022-1980
Country	:	US
Telephone Number	:	609-416-3400
Fax Number	:	609-379-6858

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

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	05/27/2021

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