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Individual

CODY ALAN CASTLEBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
6101 NORTHWEST BLVD, DAVENPORT, IA 52806-1861
(563) 322-0971
Mailing address
5250 COMPETITION DR STE 100, BETTENDORF, IA 52722-8837
(563) 322-0971

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110446
LICENSE
IA
Enumeration date
09/09/2022
Last updated
03/17/2026
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