MEDICARE: ROBIN CHRISTIE CORBIN L.M.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MA62657	FL

General Provider Information

NPI Number	:	1750678223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN CHRISTIE CORBIN L.M.T.

Provider Business Mailing Address
First Line	:	17326 PHIL C PETERS RD
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-9778
Country	:	US
Telephone Number	:	407-947-4995
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 S MAIN ST
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-3124
Country	:	US
Telephone Number	:	407-947-4995
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2011
Last Update Date	:	07/06/2011

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