Doctor Name: | MRS. KAREN JOY ABANDO CORDOVA |
NPI Number: | 1164694576 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2006002905 |
Business Practice Address: | 18540 State Highway 16 Lewistown, MO - 634522111 |
Business Phone Number: | 5732152216 |
Business Fax Number: | |
Mailing Address: | 214 W 5th St Ste D&e, JOPLIN |
State: | MO |
Postal Code: | 648012501 |
Phone Number: | 4177822917 |
Fax Number: | 4177827038 |
NPI Enumeration Date: | 03/25/2008 |
NPI Last Update Date: | 03/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2006002905 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |