Doctor Name: | DERRON MAURICE ROBINSON |
NPI Number: | 1003197880 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT |
License Number: | PT010398 |
Business Practice Address: | 1275 Highway 54 W Ste. 200 Fayetteville, GA - 302144544 |
Business Phone Number: | 7704608609 |
Business Fax Number: | |
Mailing Address: | 8823 Production Ln, OOLTEWAH |
State: | TN |
Postal Code: | 373636511 |
Phone Number: | 4232387217 |
Fax Number: | |
NPI Enumeration Date: | 09/07/2011 |
NPI Last Update Date: | 09/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT010398 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |