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Individual

ROBINSON COVILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5633 N 350 E, COLUMBIA CITY, IN 46725-7701
(260) 691-1324
Mailing address
5633 N 350 E, COLUMBIA CITY, IN 46725-7701

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001122A
IN
225200000X
Physical Therapy Assistant
06001687A
IN

Other

Enumeration date
05/29/2008
Last updated
05/29/2008
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