Basic Information
| Provider Information | |||||||||
| NPI: | 1578113148 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROBINSON | ||||||||
| FirstName: | ROBYN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1513 ROOT ST | ||||||||
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| City: | FLINT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 485031558 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8102755550 | ||||||||
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| Practice Location | |||||||||
| Address1: | G3201 BEECHER RD | ||||||||
| Address2: | |||||||||
| City: | FLINT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 485323615 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8107329200 | ||||||||
| FaxNumber: | 8107324855 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/16/2019 | ||||||||
| LastUpdateDate: | 09/16/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225200000X | 5502000887 | MI | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant |
No ID Information.