Individual
DR. CORYANN LEDFORD MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Mailing address
2856 E 3365 S, SALT LAKE CITY, UT 84109-3034
(619) 312-5955
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
296996
CA
Other
Enumeration date
08/30/2019
Last updated
08/04/2021
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