Individual
CAITLIN CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7625 BRIARWOOD DR, PORT RICHEY, FL 34668-3273
(516) 592-3643
Mailing address
7625 BRIARWOOD DR, PORT RICHEY, FL 34668-3273
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28428
FL
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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