Individual
ITYRA ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT 4208
Contact information
Practice address
111 TRAIL ONE STE 102-103, BURLINGTON, NC 27215-5672
(919) 236-5860
Mailing address
5955 S NC HIGHWAY 49, BURLINGTON, NC 27215-9621
(919) 236-5860
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4208
NC
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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