Cody Garrett Lake, DPT

NPI #1841897253 in Mustang, Oklahoma

Provider Information

NPI Number: 1841897253
Entity Type: Individual
Name: Cody Garrett Lake, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Oct 8, 2020
Last Updated: Nov 17, 2020

Practice Location

Address: 433 E STATE HIGHWAY 152
City: Mustang
State: Oklahoma
ZIP Code: 73064-4519
Phone: (405) 353-2159

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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Organizations

Provider Name	Specialty	City
Valir Outpatient Clinic #10 LLC	Physical Therapist	Mustang	AI Deep Dive

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