Individual
MS. ROBIN HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1453 MAIN STREET N, SAN LUIS, AZ 85349
(928) 627-1001
Mailing address
17465 S AVE B 1-4, SOMERTON, AZ 85350
(928) 627-1001
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1835
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
418386
AHCCCS
AZ
Enumeration date
02/07/2007
Last updated
10/16/2017
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