Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 1171789 | TX |
NPI | 1043791338 |
---|---|
Provider Name | Carolyn Lashell Robinson |
First Address | Richmond, TX 77407-4123 |
Second Address | Houston, TX 77082-4056 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2018 |
Last Update Date | 24/08/2018 |