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CODY LAKE, DPT

DPT

Physical Therapist

NPI: 1841897253IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physical TherapistPrimary

Physical Therapist

Code: 225100000X

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 2020

Contact & Hours

Via practice · 2 locations total

Address
433 E STATE HIGHWAY 152
MUSTANG, OK 73064

Quick Facts

NPI
1841897253
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
2
Years in Practice
6

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