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Individual

ANDREA ELIZABETH CORWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
5151 S 900 E STE 100, SALT LAKE CITY, UT 84117
(801) 261-3321
(801) 261-5942
Mailing address
5151 S 900 E STE 100, SALT LAKE CITY, UT 84117-6658
(801) 261-3321
(801) 261-5942

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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