Individual
CODY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
820 S ALMA DR STE 100, ALLEN, TX 75013-3809
(214) 383-2641
Mailing address
15625 QUORUM DR APT 3111, ADDISON, TX 75001-6638
(214) 383-2641
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1152858
TX
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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