Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist |
NPI | 1114941309 |
---|---|
Provider Name | Mr. George Robinson |
First Address | Chillicothe, OH 45601-3226 |
Second Address | Chillicothe, OH 45601-8608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 08/07/2007 |