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Individual

AUDREY ROBINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
300 SPRING ST, WESTBROOK, ME 04092-3915
(207) 856-1230
Mailing address
3028 SW 153RD DR, BEAVERTON, OR 97003-5116

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4654
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
W183304560
AETNA
Enumeration date
09/01/2016
Last updated
02/23/2024
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