Individual
CODY THORNBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5318
Mailing address
21207 E STONE CREST DR, QUEEN CREEK, AZ 85142-6922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9873
AZ
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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