Individual
CODY ROBERT PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3613 NW 56TH ST, SUITE 202, OKLAHOMA CITY, OK 73112-4526
(405) 948-8686
(405) 978-8603
Mailing address
3613 NW 56TH ST, SUITE 202, OKLAHOMA CITY, OK 73112-4526
(405) 948-8686
(405) 978-8603
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1197631
TX
225100000X
Physical Therapist
Primary
4021
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200132560A
—
OK
01
—
4021
STATE LICENSE
OK
Enumeration date
07/31/2007
Last updated
10/27/2014
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