Individual
JONATHAN CORDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 MOON WALK, TONAWANDA, NY 14150-2786
(716) 908-7907
Mailing address
105 CHERRYWOOD DR, WILLIAMSVILLE, NY 14221-1660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
007095
KY
261QP2000X
Physical Therapy Clinic/Center
Primary
298232
CA
Other
Enumeration date
06/15/2017
Last updated
12/23/2024
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