# ANDREA ELIZABETH CORWIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1891272035
- **Gender:** F
- **Credential:** DPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 11417680-2401 | UT | Yes |
| 225100000X | Physical Therapist | 295031 | CA | — |

## Other

- **Enumeration date:** 07/20/2018
- **Last updated:** 03/04/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 11417680-2401 | PHYSICAL THERAPY LICENSE | UT |
| 01 | — | 295031 | PHYSICAL THERAPY LICENSE | CA |
