Provider Demographics
NPI:1902503238
Name:ROBINSON, TITILAYO ZULIAT
Entity Type:Individual
Prefix:MS
First Name:TITILAYO
Middle Name:ZULIAT
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 1:4694 CEMETERY RD # 333
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-1124
Mailing Address - Country:US
Mailing Address - Phone:614-283-4468
Mailing Address - Fax:
Practice Address - Street 1:6644 CAT SINGER CIR S
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-8272
Practice Address - Country:US
Practice Address - Phone:347-350-0388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UQTRNS3C54335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier