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NPI Code Detail

MEDICARE: ALEJANDRO CORDERO

MEDICARE:   ALEJANDRO  CORDERO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist5801OK

General Provider Information

NPI Number : 1568086007
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEJANDRO CORDERO
Provider Business Mailing Address
First Line : 7710 N MAY AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73116-3114
Country : US
Telephone Number : 405-256-8699
Fax Number : 405-242-3057
Provider Business Practice Location Address
First Line : 7710 N MAY AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73116-3114
Country : US
Telephone Number : 405-256-8699
Fax Number : 405-242-3057
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2020
Last Update Date : 06/01/2020

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Directions to “ ALEJANDRO CORDERO ” Practice Location

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