Individual
CODY MATTHEW REA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 (201-202) ESTATE RUBY, CHRISTIANSTEAD, VI 00820
(340) 718-2665
(340) 718-2611
Mailing address
25 ANNA SPEAKMAN RD, ELKTON, MD 21921-2245
(443) 945-5868
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5198
MD
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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