Individual
JENNIFER M CORDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4274 SW RAGEN ST, PORT ST LUCIE, FL 34953-7255
(772) 323-6623
Mailing address
4274 SW RAGEN ST, PORT ST LUCIE, FL 34953-7255
(772) 323-6623
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
21772
FL
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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