Provider Demographics
NPI:1962606384
Name:PROTHRO, ROBIN MCALEER (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:MCALEER
Last Name:PROTHRO
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1052 CANTERBERRY DRIVE
Mailing Address - Street 2:
Mailing Address - City:MANNING
Mailing Address - State:SC
Mailing Address - Zip Code:29102-2905
Mailing Address - Country:US
Mailing Address - Phone:803-225-5909
Mailing Address - Fax:
Practice Address - Street 1:1052 CANTERBERRY DRIVE
Practice Address - Street 2:
Practice Address - City:MANNING
Practice Address - State:SC
Practice Address - Zip Code:29102-2905
Practice Address - Country:US
Practice Address - Phone:803-225-5909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3154225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist