Individual
CODY RAY GINGERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1320 HAMPTON AVE STE 11B, GREENVILLE, SC 29601-1044
(864) 900-2975
Mailing address
210 EDGEWOOD DR, GREENVILLE, SC 29605-4240
(937) 623-1975
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305212173
VA
2251X0800X
Orthopedic Physical Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/02/2017
Last updated
01/24/2021
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