Individual
MS. DONNA BOGDAN CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
450 LOWELL ST, ANDOVER, MA 01810-5305
(978) 475-4056
(978) 475-4046
Mailing address
13 EMERY DR, ATKINSON, NH 03811-2157
(603) 362-6544
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
10411
MA
2251P0200X
Pediatric Physical Therapist
1834
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y68586
BLUE CROSS - BLUE SHIELD
MA
Enumeration date
02/20/2007
Last updated
07/08/2007
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