Benjamin Cordero Bernardo, DPT
Physical Therapist in Rockford, IL. Individual provider (NPI-1).
NPI number1669907259
StatusActive
Last updated in NPPESApr 21, 2017
Details
- NPI
- 1669907259
- Entity type
- Individual (NPI-1)
- Name
- Mr. Benjamin Cordero Bernardo
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2017
- Last updated
- Apr 21, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 070009210 | IL | Yes |
Practice location
5666 E State StRockford, IL 61108-2425
Phone 815-395-5165
Mailing address
6338 Laurel Cherry DrRockford, IL 61108-1582
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