MEDICARE: ERIC JASON ROBINSON 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	225100000X	Physical Therapist	PT39595	CA

General Provider Information

NPI Number	:	1871838094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC JASON ROBINSON DPT

Provider Business Mailing Address
First Line	:	433 SOSCOL AVENUE
Second Line	:	SUITE B191
City	:	NAPA
State	:	CA
Zip	:	94559-4040
Country	:	US
Telephone Number	:	707-224-3131
Fax Number	:	707-224-2356

Provider Business Practice Location Address
First Line	:	433 SOSCOL AVENUE
Second Line	:	SUITE B191
City	:	NAPA
State	:	CA
Zip	:	94559-4040
Country	:	US
Telephone Number	:	707-224-3131
Fax Number	:	707-224-2356

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

Provider Enumeration Date	:	11/28/2012
Last Update Date	:	11/28/2012

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