CODY JAMES VAN DE VEN

PERRYVILLE, MO
NPI1679002257
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2016023482)
Enumeration Date2017-06-07
Last Update Date2017-06-07
Business Address
CODY JAMES VAN DE VEN DPT
417 E SAINT JOSEPH ST
PERRYVILLE, MO 63775-2024
Phone number: 573-208-8607
Mailing Address
CODY JAMES VAN DE VEN DPT
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number:
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