Individual
CODY BRAD BURROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1602 AQUARENA SPRINGS DR STE 101, SAN MARCOS, TX 78666-7268
(512) 667-9479
(512) 717-3244
Mailing address
1602 AQUARENA SPRINGS DR STE 101, SAN MARCOS, TX 78666-7268
(512) 667-9479
(512) 717-3244
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1190479
TX
Other
Enumeration date
09/25/2009
Last updated
02/01/2022
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