Provider Demographics
NPI:1700357506
Name:ROBINSON, GERALDINE PARRENO (PT)
Entity Type:Individual
Prefix:
First Name:GERALDINE
Middle Name:PARRENO
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:GERALDINE
Other - Middle Name:HAUTEA
Other - Last Name:PARRENO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:6626 GORDON RD STE H
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-8424
Mailing Address - Country:US
Mailing Address - Phone:910-233-0726
Mailing Address - Fax:910-338-0424
Practice Address - Street 1:6626 GORDON RD STE H
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28411-8424
Practice Address - Country:US
Practice Address - Phone:910-233-0726
Practice Address - Fax:910-338-0424
Is Sole Proprietor?:No
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP11713225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist