Individual
DR. CORBIN MARTIN CLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-7001
Mailing address
1809 E 2100 S, SALT LAKE CITY, UT 84106-4166
(801) 884-3355
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12837990-2401
UT
Other
Enumeration date
06/02/2022
Last updated
09/28/2023
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