Individual
ELLIE JEAN HILE CORBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503
(616) 486-6790
Mailing address
1715 RICHMOND ST NW, GRAND RAPIDS, MI 49504-2605
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201010949
MI
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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