Individual
ANDREA ELIZABETH CORWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11417680-2401
UT
225100000X
Physical Therapist
295031
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11417680-2401
PHYSICAL THERAPY LICENSE
UT
01
—
295031
PHYSICAL THERAPY LICENSE
CA
Enumeration date
07/20/2018
Last updated
03/04/2025
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