Individual
MRS. THERESA ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7380 LIVE OAK WAY, PASS CHRISTIAN, MS 39571-8022
(228) 452-1838
Mailing address
251 JOHNSTON ST SE, STE 200, DECATUR, AL 35601-2515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0465
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00172
PHYSICAL THERAPY LICENSE
LA
01
—
PT0465
PHYSICAL THERAPY LICENSE
MS
Enumeration date
01/15/2007
Last updated
04/19/2018
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