Individual
CODY BLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2420 LAKE AVE, ASHTABULA, OH 44004-4954
(440) 997-6680
Mailing address
336 BESSEMER AVE, CONNEAUT, OH 44030-2810
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017389
OH
Other
Enumeration date
08/10/2019
Last updated
08/10/2019
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