Individual
ALFREDO JOVIN CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2675 COURT DR, GASTONIA, NC 28054-1478
(704) 830-2136
Mailing address
550 W NEW HOPE RD APT A3, GOLDSBORO, NC 27534-7561
(919) 356-5569
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P15328
NC
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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