MEDICARE: ROBIN PARTLOW 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
1	208100000X	Physical Medicine & Rehabilitation Physician	5502003360	MI

General Provider Information

NPI Number	:	1881195451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN PARTLOW PTA

Provider Business Mailing Address
First Line	:	725 W GENESEE ST
Second Line	:
City	:	FRANKENMUTH
State	:	MI
Zip	:	48734-1316
Country	:	US
Telephone Number	:	989-652-9951
Fax Number	:

Provider Business Practice Location Address
First Line	:	725 W GENESEE ST
Second Line	:
City	:	FRANKENMUTH
State	:	MI
Zip	:	48734-1316
Country	:	US
Telephone Number	:	989-652-9951
Fax Number	:

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

Provider Enumeration Date	:	02/28/2018
Last Update Date	:	02/28/2018

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Directions to “ ROBIN PARTLOW PTA” Practice Location

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