Individual
CODY JAMES BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2151 AZ-92, #106, SIERRA VISTA, AZ 85635
(520) 335-1615
Mailing address
2601 PINE AVE, GULFPORT, MS 39501-5250
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2143887
TX
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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