CODY BISHOP

PORT CHARLOTTE, FL
NPI1497296891
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA 25259)
Enumeration Date2017-03-17
Last Update Date2017-03-17
Business Address
-- CODY BISHOP PTA
708 BOWMAN TER
PORT CHARLOTTE, FL 33953-2133
Phone number: 502-608-4710
Mailing Address
-- CODY BISHOP PTA
708 BOWMAN TER
PORT CHARLOTTE, FL 33953-2133
Phone number: 502-608-4710
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