NPI | 1013025725 |
---|---|
Former Name | SANDRA L CORDELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 22120) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2006-08-25 |
Last Update Date | 2023-03-09 |