Individual
CODY RYAN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6011 HARRY HINES BLVD, DALLAS, TX 75235-5386
(214) 648-1533
Mailing address
5325 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 648-1533
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1303463
TX
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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