Individual
MRS. ROBIN BROOM
Active
Individual
MRS. ROBIN BROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2953
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003
HCH ID
NM
01
—
2387
LOVELACE ID
NM
01
—
NM00Q387
BLUE CROSS ID
NM
01
—
QMYPR0067389
MOLINA ID
NM
Enumeration date
08/23/2006
Last updated
09/07/2007
Update your record
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