Provider Demographics
NPI:1497483564
Name:SKINNER, CORBIN BLAINE (PT, DPT, OCS)
Entity Type:Individual
Prefix:DR
First Name:CORBIN
Middle Name:BLAINE
Last Name:SKINNER
Suffix:
Gender:M
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21602 RAINFALL PARK DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-2648
Mailing Address - Country:US
Mailing Address - Phone:713-857-0003
Mailing Address - Fax:281-323-4164
Practice Address - Street 1:21602 RAINFALL PARK DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-2648
Practice Address - Country:US
Practice Address - Phone:713-857-0003
Practice Address - Fax:281-323-4164
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12650562251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty