CODY ALLEN WATERS

FAIRMONT, WV
NPI1639687155
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: WV  003879)
Enumeration Date2018-01-18
Last Update Date2018-01-18
Business Address
CODY ALLEN WATERS
1539 COUNTRY CLUB RD
FAIRMONT, WV 26554-1306
Phone number: 304-366-9100
Mailing Address
CODY ALLEN WATERS
837 MONONGALIA AVE
MORGANTOWN, WV 26505-5732
Phone number: 724-713-8106
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