CODY GREEN

CHARLESTON, WV
NPI1831915214
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  002581)
Enumeration Date2024-12-02
Last Update Date2024-12-02
Business Address
CODY GREEN
24 BRIDLEWOOD RD
CHARLESTON, WV 25314-2101
Phone number: 304-550-6935
Mailing Address
CODY GREEN
400 TRACY WAY STE 100
CHARLESTON, WV 25311-1280
Phone number: