Individual
MR. CODY B WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1260 INNOVATION PKWY STE 135, GREENWOOD, IN 46143-3602
(317) 956-1082
Mailing address
1260 INNOVATION PKWY STE 135, GREENWOOD, IN 46143-3602
(317) 956-1082
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05015324A
IN
2251X0800X
Orthopedic Physical Therapist
Primary
05015324A
IN
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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