Provider Demographics
NPI:1538210430
Name:CORBI, LOIS A (PT)
Entity type:Individual
Prefix:
First Name:LOIS
Middle Name:A
Last Name:CORBI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LOIS
Other - Middle Name:A
Other - Last Name:DAVID
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:5055 ROUTE 38
Mailing Address - Street 2:
Mailing Address - City:PENNSAUKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08109-4801
Mailing Address - Country:US
Mailing Address - Phone:856-488-9355
Mailing Address - Fax:856-488-5656
Practice Address - Street 1:5055 ROUTE 38
Practice Address - Street 2:
Practice Address - City:PENNSAUKEN
Practice Address - State:NJ
Practice Address - Zip Code:08109-4801
Practice Address - Country:US
Practice Address - Phone:856-488-9355
Practice Address - Fax:856-488-5656
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00286500225100000X
PAPT001046E225100000X
NY007418-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2644835000OtherAMERIHEALTH
NJ8251465OtherCIGNA
NJ2702921000OtherAMERIHEALTH
NJ9409354OtherPCHS
NJ5135493OtherAETNA
NJ099857U8XMedicare PIN