Individual
CODY JOE OSBOURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3561 JOHNSON MILL BLVD STE 101, FAYETTEVILLE, AR 72704-5026
(479) 404-4500
(479) 404-4510
Mailing address
3561 JOHNSON MILL BLVD STE 101, FAYETTEVILLE, AR 72704-5026
(479) 404-4500
(479) 404-4510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4175
AR
Other
Enumeration date
08/17/2017
Last updated
07/21/2022
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