NPI | 1598072845 |
---|---|
Former Name | KENDRA LOUISE CORDERO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010301) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT37041) |
Enumeration Date | 2010-09-08 |
Last Update Date | 2013-06-27 |