Individual
ROBIN HENNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1728 W 8TH ST, CEDAR FALLS, IA 50613-2002
(319) 404-9405
Mailing address
1728 W 8TH ST, CEDAR FALLS, IA 50613-2002
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
074663
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074663
—
IA
Enumeration date
12/17/2015
Last updated
12/17/2015
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