Cody Garland Evans, PTA

NPI #1245740703 in Grayson, Georgia

Provider Information

NPI Number: 1245740703
Entity Type: Individual
Name: Cody Garland Evans, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 10, 2017
Last Updated: Oct 10, 2017

Practice Location

Address: 2065 GRAYSON HWY STE B
City: Grayson
State: Georgia
ZIP Code: 30017-1766
Phone: (678) 376-0213

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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