| 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 |