Individual
JENNIFER LEIGH ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
341 WINN WAY APT. 203, DECATUR, GA 30030
(404) 343-2601
(256) 386-7718
Mailing address
279 1ST AVE, AVONDALE ESTATES, GA 30002
(678) 910-8957
(256) 340-9624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT009634
GA
225100000X
Physical Therapist
PT4395
MS
225100000X
Physical Therapist
Primary
PTH5812
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003819608
GROUP NPI
AL
05
—
529917620
—
AL
Enumeration date
08/27/2008
Last updated
11/19/2019
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