Individual
MIRANDA JEAN CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10635 SANTA MONICA BLVD STE 165, LOS ANGELES, CA 90025-8306
(310) 273-0877
Mailing address
5820 S 41ST PL, PHOENIX, AZ 85040-9022
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-014860
AZ
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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