DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JONATHAN CORDERO

Active Sole Proprietor

JONATHAN CORDERO is a Physical Therapy Clinic healthcare provider located in TONAWANDA, New York. NPI 1306376991 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Clinic · TONAWANDA, NY

Registration Details

NPI Number
1306376991
Provider Type
Individual
Gender
Male
NPI Issued
Jun 15, 2017 (9.1717208545788 yrs)
Last Updated
Dec 23, 2024
Licenses
007095 (KY)
298232 (CA)
Sole Proprietor
Yes

Practice Information

Address
22 MOON WALK
TONAWANDA, NY, 141502786
Browse NY providers · Browse ZIP 14150
Phone
7169087907
Primary Specialty
Physical Therapy Clinic
261QP2000X
Additional Specialty
Physical Therapy Clinic
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.