Individual
BIANCA CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTRL
Contact information
Practice address
3152 PEREGRINE DR NE STE 115, GRAND RAPIDS, MI 49525-9723
(616) 643-0833
Mailing address
6216 SANCTUARY POINTE DR, GRAND BLANC, MI 48439-9028
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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