Individual
CODY ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
1306652
TX
225100000X
Physical Therapist
Primary
1306652
TX
261QP2000X
Physical Therapy Clinic/Center
1306652
TX
Other
Enumeration date
08/02/2018
Last updated
11/01/2023
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