Individual provider · Type 1 NPI

Miranda Jean Cordova, PTA

Physical Therapy Assistant · Los Angeles, CA

NPI number 1346100153 Active

Practice location

10635 Santa Monica Blvd Ste 165
Los Angeles, CA 90025-8306

Call (310) 273-0877 Map

Mailing address

5820 S 41st Pl
Phoenix, AZ 85040-9022

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant Primary	225200000X	PTA-014860 (AZ)

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 1346100153

Miranda Jean Cordova, PTA's National Provider Identifier is 1346100153, issued on Nov 13, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 13, 2025.