Individual
MR. CODY WILLIAM GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1028 E. SECOND STREET, COUDERSPORT, PA 16915
(814) 274-7610
(814) 274-8010
Mailing address
1100 SHAWNEE ROAD, LIMA, OH 45805
(419) 999-2030
(419) 991-0909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018927
PA
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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