Sally Cordova
Rehabilitation Practitioner in Northridge, CA. Individual provider (NPI-1).
NPI number1669959631
StatusActive
Last updated in NPPESFeb 2, 2022
Details
- NPI
- 1669959631
- Entity type
- Individual (NPI-1)
- Name
- Sally Cordova
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2018
- Certification date
- Feb 2, 2022
- Last updated
- Feb 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
9650 Zelzah AveNorthridge, CA 91325-2003
Phone 818-993-9311
Mailing address
9650 Zelzah AveNorthridge, CA 91325-2003
Phone 818-993-9311
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