Individual
BRIGITTE CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1624 S WARREN AVE, LAKELAND, FL 33803-2065
(863) 430-8332
Mailing address
1624 S WARREN AVE, LAKELAND, FL 33803-2065
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18859
FL
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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