Doctor Name: | JENNIFER CORBEIL |
NPI Number: | 1699781104 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT1874 |
Business Practice Address: | 205 Bolt Hill Rd Eliot, ME - 039031942 |
Business Phone Number: | 2074395104 |
Business Fax Number: | 2075718134 |
Mailing Address: | 205 Bolt Hill Rd, ELIOT |
State: | ME |
Postal Code: | 039031942 |
Phone Number: | 2074395104 |
Fax Number: | 2075718134 |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | PT1874 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |