MEDICARE: MR. ROBERT C PAULINE PT, MPT

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	PT34328	CA

General Provider Information

NPI Number	:	1952539405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT C PAULINE PT, MPT

Provider Business Mailing Address
First Line	:	7257 N MAPLE AVE
Second Line	:	SUITE D-106
City	:	FRESNO
State	:	CA
Zip	:	93720-0167
Country	:	US
Telephone Number	:	559-257-3991
Fax Number	:	559-275-3992

Provider Business Practice Location Address
First Line	:	6785 N WILLOW AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93710-5900
Country	:	US
Telephone Number	:	559-257-3991
Fax Number	:	559-275-3992

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

Provider Enumeration Date	:	06/23/2009
Last Update Date	:	06/01/2026

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