Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 12424 | NC |
Y | 2251G0304X | Physical Therapist - Geriatrics | 12424 | NC |
NPI | 1396032199 |
---|---|
Provider Name | Dr. Marybeth Margaret Robinson |
First Address | Charlotte, NC 28210-6120 |
Second Address | Charlotte, NC 28210-3298 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2011 |
Last Update Date | 30/06/2011 |