Individual
CAROLYN CORBETT PHOENIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 MAGNOLIA ST, EASTON, MD 21601-3657
(410) 822-0330
Mailing address
6912 MAIN ST, QUEENSTOWN, MD 21658-1627
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
09102
MD
Other
Enumeration date
09/29/2020
Last updated
09/13/2022
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