Provider Demographics
NPI:1225358401
Name:ROBINSON, WINTER (MED)
Entity Type:Individual
Prefix:MS
First Name:WINTER
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MED
Other - Prefix:MS
Other - First Name:WINTER
Other - Middle Name:
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MED
Mailing Address - Street 1:149 SIMPSON RD
Mailing Address - Street 2:
Mailing Address - City:BUXTON
Mailing Address - State:ME
Mailing Address - Zip Code:04093-6201
Mailing Address - Country:US
Mailing Address - Phone:207-929-6960
Mailing Address - Fax:
Practice Address - Street 1:149 SIMPSON RD
Practice Address - Street 2:
Practice Address - City:BUXTON
Practice Address - State:ME
Practice Address - Zip Code:04093-6201
Practice Address - Country:US
Practice Address - Phone:207-929-6960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-10
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPC621225500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEPC621OtherTHERAPIST