Individual
CODY WORTHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
21170 BEALLSVILLE RD, DICKERSON, MD 20842-9068
(301) 758-0979
Mailing address
21170 BEALLSVILLE RD, DICKERSON, MD 20842-9068
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01782
MD
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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