Individual
CODY BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
708 BOWMAN TER, PORT CHARLOTTE, FL 33953-2133
(502) 608-4710
Mailing address
708 BOWMAN TER, PORT CHARLOTTE, FL 33953-2133
(502) 608-4710
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 25259
FL
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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