Individual
MRS. DIANE JOAN CORDEIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
500 WILBUR AVE, SOMERSET, MA 02725-2051
(508) 675-7589
(508) 675-0132
Mailing address
9 BAY MEADOW RD, BERKLEY, MA 02779-2329
(508) 880-7085
(508) 675-0132
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5816
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0705900
—
MA
Enumeration date
11/28/2006
Last updated
07/08/2007
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