Individual
PHYLLIS ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
140 MILL ST APT 207, EAST HAVEN, CT 06512-1042
(413) 205-7996
Mailing address
140 MILL ST APT 207, EAST HAVEN, CT 06512-1042
(413) 205-7996
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000929
CT
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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