Provider Demographics
NPI:1184832628
Name:CHARLSON, ROBIN FRANCES (DPT)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:FRANCES
Last Name:CHARLSON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17102 440TH ST
Mailing Address - Street 2:
Mailing Address - City:LELAND
Mailing Address - State:IA
Mailing Address - Zip Code:50453-7400
Mailing Address - Country:US
Mailing Address - Phone:641-567-3334
Mailing Address - Fax:
Practice Address - Street 1:1144 HWY 69 N
Practice Address - Street 2:AREA EDUCATION AGENCY 267
Practice Address - City:FOREST CITY
Practice Address - State:IA
Practice Address - Zip Code:50436
Practice Address - Country:US
Practice Address - Phone:641-585-3382
Practice Address - Fax:641-585-4900
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA03571225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist