Individual
DR. MARISOL CARDOZA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
840 SW 4TH AVE, ONTARIO, OR 97914-2627
(541) 881-7330
Mailing address
6300 SE 4TH AVE, NEW PLYMOUTH, ID 83655-5447
(971) 409-6793
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-4157
ID
Other
Enumeration date
08/26/2015
Last updated
05/06/2020
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