Individual
BRYNN CORBELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5140 GALAXIE DR, JACKSON, MS 39206-4335
(769) 216-3288
Mailing address
PO BOX 75, MADISON, MS 39130-0075
(769) 216-3288
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2806
MS
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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