Provider Demographics
NPI:1457660557
Name:ROWLAND, ROBIN R (LMT)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:R
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7552 PLANTATION CIRCLE
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PARK
Mailing Address - State:FL
Mailing Address - Zip Code:34201
Mailing Address - Country:US
Mailing Address - Phone:941-266-5087
Mailing Address - Fax:941-360-9646
Practice Address - Street 1:9070 58TH DRIVE E
Practice Address - Street 2:#102
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34202
Practice Address - Country:US
Practice Address - Phone:941-266-5087
Practice Address - Fax:941-360-9646
Is Sole Proprietor?:No
Enumeration Date:2010-10-07
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA48706225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist