Individual
MR. CODY J TURNBOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
454 LIPAN AVE, MESCALERO, NM 88340
(505) 464-4802
Mailing address
7540 N 19TH AVE, PHOENIX, AZ 85021
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1874
NM
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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