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NPI Code Detail

MEDICARE: MRS. ROBIN LEE MARTIN RPT

MEDICARE: MRS. ROBIN LEE MARTIN RPT
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
1225100000XPhysical TherapistPT2884ME

General Provider Information

NPI Number : 1881716892
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROBIN LEE MARTIN RPT
Provider Business Mailing Address
First Line : 330 YOUNGTOWN RD
Second Line :
City : LINCOLNVILLE
State : ME
Zip : 04849-5437
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 105 MECHANIC ST
Second Line :
City : CAMDEN
State : ME
Zip : 04843-1811
Country : US
Telephone Number : 207-236-4197
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. ROBIN LEE MARTIN RPT” Practice Location

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