Individual
CODY MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1200 SW 104TH ST, OKLAHOMA CITY, OK 73139-3019
(405) 759-3773
Mailing address
505 E SHERIDAN AVE APT 2105, OKLAHOMA CITY, OK 73104-6715
(601) 951-6107
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7174
MS
Other
Enumeration date
03/22/2023
Last updated
03/28/2023
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