Individual
CODY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1707 CEDAR GROVE RD, SHEPHERDSVILLE, KY 40165-8572
(740) 637-0572
Mailing address
1707 CEDAR GROVE RD, SHEPHERDSVILLE, KY 40165-8572
(740) 637-0572
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A5640
KY
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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