| NPI | 1104363324 |
|---|---|
| Former Name | KARLY ANN CORBIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MO 2012018407) |
| Additional Taxonomies | 2255R0406X Specialist/Technologist, Rehabilitation, Blind |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |