Individual
AYDALINA CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
153 SUMMER ST, PROVIDENCE, RI 02903-4011
(401) 276-4300
Mailing address
153 SUMMER ST, PROVIDENCE, RI 02903-4011
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
03/18/2021
Last updated
01/24/2025
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