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Individual

HEATHER MARIE CORBET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
1110 CALL CREEK DR, SUITE 7, POCATELLO, ID 83201-3072
(208) 233-4660
(208) 233-4262
Mailing address
111 ROSEWOOD AVE, POCATELLO, ID 83204-4011

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
927
ID

Other

Enumeration date
11/16/2009
Last updated
11/16/2009
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