Provider Demographics
NPI:1194925073
Name:ARNWINE, ROBIN DAWN (PT)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:DAWN
Last Name:ARNWINE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 ALCORN DR
Mailing Address - Street 2:SUITE 109
Mailing Address - City:CORINTH
Mailing Address - State:MS
Mailing Address - Zip Code:38834-9302
Mailing Address - Country:US
Mailing Address - Phone:662-286-6369
Mailing Address - Fax:662-286-2768
Practice Address - Street 1:703 ALCORN DR
Practice Address - Street 2:SUITE 109
Practice Address - City:CORINTH
Practice Address - State:MS
Practice Address - Zip Code:38834-9302
Practice Address - Country:US
Practice Address - Phone:662-286-6369
Practice Address - Fax:662-286-2768
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSPT31462251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSPT3146OtherSTATE LICENSE