Individual
GRETA CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-1000
Mailing address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13020-24
WI
Other
Enumeration date
06/12/2015
Last updated
04/15/2020
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