Provider Demographics
NPI:1750678223
Name:CORBIN, ROBIN CHRISTIE (LMT)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:CHRISTIE
Last Name:CORBIN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17326 PHIL C PETERS RD
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-9778
Mailing Address - Country:US
Mailing Address - Phone:407-947-4995
Mailing Address - Fax:
Practice Address - Street 1:33 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-3124
Practice Address - Country:US
Practice Address - Phone:407-947-4995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA62657225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist