Individual
SANDRA CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3530 PAN AMERICAN FWY NE STE D, ALBUQUERQUE, NM 87107-4793
(505) 888-4469
(505) 889-8142
Mailing address
3530 PAN AMERICAN FWY NE STE D, ALBUQUERQUE, NM 87107-4793
(505) 888-4469
(505) 889-8142
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2422
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2422
STATE OF NEW MEXICO
NM
Enumeration date
03/18/2008
Last updated
03/18/2008
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