Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | ||
N | 226300000X | Kinesiotherapist |
NPI | 1740529650 |
---|---|
Provider Name | Malerie Robinson |
First Address | Altamonte Springs, FL 32714-2035 |
Second Address | Altamonte Springs, FL 32714-2035 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2013 |
Last Update Date | 20/01/2021 |