Individual
HEATHER CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 PARK AVE, BRIDGEPORT, CT 06604-1049
(203) 396-1136
Mailing address
175 JEFFERSON ST, FAIRFIELD, CT 06825-1078
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
10588
CT
Other
Enumeration date
09/01/2015
Last updated
01/20/2021
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