Individual
BRIAN CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1300 E GRANT ST STE 100, LEBANON, OR 97355-9539
(541) 258-8222
(541) 258-8221
Mailing address
824 W LEWIS ST STE 204, PASCO, WA 99301-5561
(509) 544-0265
(509) 544-0304
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4566
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231020
—
OR
Enumeration date
12/14/2006
Last updated
10/03/2007
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