Individual
FREDIE CORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1090 LAWRENCE DR STE 101, THOUSAND OAKS, CA 91320-1315
(805) 852-7031
Mailing address
1453 E JEFFERSON WAY APT 307, SIMI VALLEY, CA 93065-0167
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
306988
CA
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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