Doctor Name: | MR. JEFFREY CORDUWA |
NPI Number: | 1376845875 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPT |
License Number: | PT020357 |
Business Practice Address: | 251 W. Dekalb Pk Apt B414 King Of Prussia, PA - 19406 |
Business Phone Number: | 4843684350 |
Business Fax Number: | |
Mailing Address: | 251 W Dekalb Pike, Apt # B414 KING OF PRUSSIA |
State: | PA |
Postal Code: | 194062421 |
Phone Number: | 4843684350 |
Fax Number: | |
NPI Enumeration Date: | 12/03/2010 |
NPI Last Update Date: | 12/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT020357 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |