Basic Information
| Provider Information | |||||||||
| NPI: | 1629541842 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROBINSON | ||||||||
| FirstName: | CHARLOTTE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | PT, DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4052 FLANDERS ST | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802497182 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5207304737 | ||||||||
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| Practice Location | |||||||||
| Address1: | 56171 E COLFAX AVE | ||||||||
| Address2: | |||||||||
| City: | STRAUSBURG | ||||||||
| State: | CO | ||||||||
| PostalCode: | 80136 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3036226688 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/10/2019 | ||||||||
| LastUpdateDate: | 01/10/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | CO | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.