Individual provider · Type 1 NPI

Dominique Y. Cordova, PTA

Physical Therapy Assistant · Mount Juliet, TN

NPI number 1184358996 Active

Practice location

435 NW Rutland Rd
Mount Juliet, TN 37122-8700

Call (615) 773-6111 Map

Mailing address

9925 SW 82nd Ave
Miami, FL 33156-2513

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA28180 (FL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1184358996

Dominique Y. Cordova, PTA's National Provider Identifier is 1184358996, issued on Jul 15, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Mount Juliet, TN. The record was last updated on Jul 15, 2022.