Provider Demographics
NPI:1710542055
Name:ROBINSON, CATHERINE
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11152 FALLS RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLANDVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21022-1400
Mailing Address - Country:US
Mailing Address - Phone:410-825-4400
Mailing Address - Fax:
Practice Address - Street 1:11152 FALLS RD
Practice Address - Street 2:
Practice Address - City:BROOKLANDVILLE
Practice Address - State:MD
Practice Address - Zip Code:21022-1400
Practice Address - Country:US
Practice Address - Phone:410-825-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-02
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA00003772255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer