Individual
DR. CODI JO ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
17800 US HIGHWAY 18, APPLE VALLEY, CA 92307-1221
(760) 646-8000
Mailing address
17800 US HIGHWAY 18, APPLE VALLEY, CA 92307-1221
(217) 299-0536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40731
CA
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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