Individual
KARA CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11861 SW LYRA DR, PORT ST LUCIE, FL 34987-6413
(828) 638-1904
Mailing address
11861 SW LYRA DR, PORT ST LUCIE, FL 34987-6413
(828) 638-1904
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12986965-4201
UT
225X00000X
Occupational Therapist
OT22334
FL
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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