Individual
ELEANOR CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
85790 BLACK TERN DR, YULEE, FL 32097-2667
(904) 321-6284
Mailing address
85790 BLACK TERN DR, YULEE, FL 32097-2667
(904) 321-6284
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21997
FL
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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