CODY LEE PHILLIPS

CUMMING, GA
NPI1023461878
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA003653)
Enumeration Date2016-07-18
Last Update Date2016-07-18
Business Address
-- CODY LEE PHILLIPS PTA
2300 BETHELVIEW RD STE 2013
CUMMING, GA 30040-9475
Phone number: 770-888-1106
Mailing Address
-- CODY LEE PHILLIPS PTA
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217