Individual
CODY HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1405 4TH AVE NW # 296, ARDMORE, OK 73401-2708
(580) 795-4561
(580) 223-6448
Mailing address
1405 4TH AVE NW # 296, ARDMORE, OK 73401-2708
(580) 795-4561
(580) 223-6448
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1278
OK
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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