Provider Demographics
NPI:1497983597
Name:CORBELL, LINDA D
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:D
Last Name:CORBELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 BROADWAY STE 190
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-5371
Mailing Address - Country:US
Mailing Address - Phone:206-323-4040
Mailing Address - Fax:206-324-0943
Practice Address - Street 1:600 BROADWAY STE 190
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5371
Practice Address - Country:US
Practice Address - Phone:206-323-4040
Practice Address - Fax:206-324-0943
Is Sole Proprietor?:No
Enumeration Date:2009-06-26
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter