Provider Demographics
NPI:1316280084
Name:ROBINSON, JANINE D (LMT, NCBTMB)
Entity type:Individual
Prefix:MS
First Name:JANINE
Middle Name:D
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LMT, NCBTMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1018 PLEASANT ST UNIT 48
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02189-2554
Mailing Address - Country:US
Mailing Address - Phone:627-282-5519
Mailing Address - Fax:
Practice Address - Street 1:1018 PLEASANT ST UNIT 48
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02189-2554
Practice Address - Country:US
Practice Address - Phone:627-282-5519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-01
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3426225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist