Individual
CODY MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 N WABASH RD, MARION, IN 46952-1300
(765) 651-3227
Mailing address
8991 W 1100 S, FAIRMOUNT, IN 46928-9364
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002633A
IN
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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