Individual
MS. JUDY SANDRA CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
621 W 21ST ST, ANDOVER, KS 67002-8498
(316) 733-1349
(316) 733-5883
Mailing address
1338 E 90TH AVE N, BELLE PLAINE, KS 67013-7936
(620) 488-3999
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01517
KS
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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