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Individual
MR. JAMES ROBIN ABBOTT JR.
Active
Individual
MR. JAMES ROBIN ABBOTT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2519
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D379
MEDICARE PTAN
SC
05
—
TH0620
—
SC
Enumeration date
03/23/2006
Last updated
04/15/2014
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