Cody James Van De Ven, DPT

NPI #1679002257 in Perryville, Missouri

Provider Information

NPI Number: 1679002257
Entity Type: Individual
Name: Cody James Van De Ven, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jun 7, 2017
Last Updated: Jun 7, 2017

Practice Location

Address: 417 E SAINT JOSEPH ST
City: Perryville
State: Missouri
ZIP Code: 63775-2024
Phone: (573) 208-8607

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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