Individual
CODY TRAHAN TANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3920 W PARK AVE, ORANGE, TX 77630-1756
(409) 920-4105
(409) 920-4107
Mailing address
PO BOX 112, ORANGE, TX 77631-0112
(409) 920-4105
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1253907
TX
Other
Enumeration date
01/15/2015
Last updated
01/29/2024
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