Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 109691 | MO |
NPI | 1558990416 |
---|---|
Provider Name | Amy Robbins |
First Address | Springfield, MO 65807-7333 |
Second Address | Springfield, MO 65807-7333 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2020 |
Last Update Date | 03/04/2020 |