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1023461878
CODY LEE PHILLIPS
CUMMING, GA
NPI
1023461878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA003653)
Enumeration Date
2016-07-18
Last Update Date
2016-07-18
Business Address
-- CODY LEE PHILLIPS PTA
2300 BETHELVIEW RD STE 2013
CUMMING, GA 30040-9475
Phone number: 770-888-1106
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Mailing Address
-- CODY LEE PHILLIPS PTA
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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