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NPI Code Detail

MEDICARE: ERIN ROBINSON PTA

MEDICARE: ERIN ROBINSON 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
1225200000XPhysical Therapy Assistant2678AR

General Provider Information

NPI Number : 1992139422
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN ROBINSON PTA
Provider Business Mailing Address
First Line : 200 W BROADWAY ST
Second Line :
City : WEST MEMPHIS
State : AR
Zip : 72301-3904
Country : US
Telephone Number : 870-394-7000
Fax Number : 870-394-7001
Provider Business Practice Location Address
First Line : 200 W BROADWAY ST
Second Line :
City : WEST MEMPHIS
State : AR
Zip : 72301-3904
Country : US
Telephone Number : 870-394-7000
Fax Number : 870-394-7001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2013
Last Update Date : 09/03/2013

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