Individual
CODY DANIEL FARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2335 VISTA WAY, OCEANSIDE, CA 92054-5663
(760) 547-2666
Mailing address
2335 VISTA WAY, OCEANSIDE, CA 92054-5663
(760) 547-2666
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
301160
CA
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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