Provider Demographics
NPI:1376976670
Name:CORBIN, PATRICIA R (OTD, MS, OTR/L)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:R
Last Name:CORBIN
Suffix:
Gender:F
Credentials:OTD, MS, OTR/L
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:R
Other - Last Name:TRUESDELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:7823 EAGLES LANDING CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-2029
Mailing Address - Country:US
Mailing Address - Phone:859-684-1171
Mailing Address - Fax:
Practice Address - Street 1:7823 EAGLES LANDING CT
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-2029
Practice Address - Country:US
Practice Address - Phone:859-684-1171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-10
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT005724225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics