Individual
HEATHER CORBIN
Active
Individual
HEATHER CORBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
61518
OR
225100000X
Physical Therapist
Primary
PT60384816
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528498425
—
WA
05
—
500699617
—
OR
01
—
P01338295
RR MEDICARE
WA
01
—
P01708996
RR MEDICARE
OR
01
—
P01709416
RR MEDICARE
OR
Enumeration date
11/14/2013
Last updated
10/30/2018
Update your record
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