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CODY BLAKE DILLON PTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1174267751
Provider Type
Individual Provider (NPI-1)
Credentials
PTA
Status
Active

Contact & Location

Address
1908 GLENWOOD PARK RD, PRINCETON, WV, 247397969
Phone
(304) 323-2300

Specialties & Taxonomies

Physical Therapy Assistant Primary License: WV #002418

All Addresses

MAILING

526 WHITE PINES RD

PRINCETON, WV, 247398750

LOCATION

1908 GLENWOOD PARK RD

PRINCETON, WV, 247397969

(304) 323-2300