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Individual
KEN ROBINSON
Active
Individual
KEN ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.015363
IL
225100000X
Physical Therapist
Primary
PT14466
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT14466
PHYSICAL THERAPIST LICENSE
CA
Enumeration date
03/24/2007
Last updated
01/26/2023
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