Individual
CODY ALLEN GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS , OTR/L
Contact information
Practice address
280 MT HEBRON RD, ELMORE, AL 36025-1526
(334) 567-8484
Mailing address
214 MAPLEWOOD DR, WETUMPKA, AL 36093-3928
(757) 320-9512
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5844
AL
Other
Enumeration date
07/06/2022
Last updated
07/20/2022
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