Individual
CORBIN TAYLOR GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
4455 148TH AVE NE, BELLEVUE, WA 98007-3120
(425) 869-4746
Mailing address
4455 148TH AVE NE, BELLEVUE, WA 98007-3120
(425) 869-4746
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT60718114
WA
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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