Individual
KATHRYN A CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
9241 UNIVERSITY BLVD, STE B-1, NORTH CHARLESTON, SC 29406-9349
(843) 764-4887
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
9750
AZ
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
739733
—
AZ
Enumeration date
10/24/2012
Last updated
04/21/2017
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