Individual
BROOKE CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
903 W MARTIN ST, SAN ANTONIO, TX 78207-0903
(210) 358-5815
(210) 358-3685
Mailing address
PO BOX 87, SAN ANTONIO, TX 78291-0087
(210) 358-9172
(210) 358-9183
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1212353
TX
Other
Enumeration date
09/03/2015
Last updated
11/12/2018
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