Provider Demographics
NPI:1184651846
Name:ROBINSON, PATRICIA COLLEEN (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:COLLEEN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:COLLEEN
Other - Middle Name:
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:D C
Mailing Address - Street 1:1212 W WILLOW AVE
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73533-4725
Mailing Address - Country:US
Mailing Address - Phone:580-255-8840
Mailing Address - Fax:580-255-3993
Practice Address - Street 1:1212 W WILLOW AVE
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-4725
Practice Address - Country:US
Practice Address - Phone:580-255-8840
Practice Address - Fax:580-255-3993
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2625111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor