Provider Demographics
NPI:1295193613
Name:WIERZBINSKI, CORBYN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CORBYN
Middle Name:
Last Name:WIERZBINSKI
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 PRAIRIE CENTER PKWY
Mailing Address - Street 2:PHYSICAL MEDICINE DEPARTMENT
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-4006
Mailing Address - Country:US
Mailing Address - Phone:303-498-1840
Mailing Address - Fax:303-498-1845
Practice Address - Street 1:1600 PRAIRIE CENTER PKWY
Practice Address - Street 2:PHYSICAL MEDICINE DEPARTMENT
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-4006
Practice Address - Country:US
Practice Address - Phone:303-498-1840
Practice Address - Fax:303-498-1845
Is Sole Proprietor?:No
Enumeration Date:2016-01-29
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0012822225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist