Individual
KYWANA RENEE CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRT, CTRS
Contact information
Practice address
2400 ALSTONBURG AVE # A, WAKE FOREST, NC 27587-9384
(910) 515-3492
Mailing address
2400 ALSTONBURG AVE # A, WAKE FOREST, NC 27587-9384
(910) 515-3492
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
4620
NC
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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