Myra Cordoba Pepito PTA

NPI 1669643748 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1669643748
Gender Female
Enumeration Date 03/18/2008
Last Updated 03/18/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1145 19TH ST NW
SUITE 605
WASHINGTON DC, 20036, US
Phone (202) 833-1003
Fax
Business Location
1145 19TH ST NW
SUITE 605
WASHINGTON DC, 20036, US
Phone (202) 833-1003
Fax
Toxanomy
Taxonomy Code 225200000X
License State New York
License Number 006438
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According to our database, Myra Cordoba Pepito PTA NPI is 1669643748, taxonomy code is 225200000X and license number is 006438, license state is located at New York. Myra Cordoba Pepito PTA physically located at 1145 19th St Nw, Washington DC, 20036. NPI Number Myra Cordoba Pepito PTA has the Individual type.

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1669643748 NPI number is provided on an as is basis without warranty of any kind. 1669643748 is maintained by the National Plan & Provider Enumeration System. The contents of Myra Cordoba Pepito PTA are for informational purposes only.