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Individual

CODY WILBANKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1717 NORFOLK AVE, LUBBOCK, TX 79416
(806) 281-6232
Mailing address
1717 NORFOLK AVE, LUBBOCK, TX 79416
(806) 281-6232

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2127512
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2127512
PHYSICAL THERAPIST ASSISTANT
TX
Enumeration date
04/13/2017
Last updated
04/13/2017
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