Individual
CORINNE XANTHOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
324 E 10TH AVE STE 100, SALT LAKE CITY, UT 84103-2870
(801) 408-5735
Mailing address
2251 E 10300 S, SANDY, UT 84092-6130
(801) 440-1070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11163375-2401
UT
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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