Individual
CODY STEPHEN CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1401 BONE CREEK DR, SANDUSKY, OH 44870-7267
(419) 621-0035
Mailing address
1401 BONE CREEK DR, SANDUSKY, OH 44870-7267
(419) 621-0035
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.051238
OH
Other
Enumeration date
07/02/2015
Last updated
07/07/2015
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