Most Relevant Information
Provider Data
| NPI Number: | 1003467010 |
| Provider Name: | CODY MATTHEW REA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | A5198 |
Most Important Dates
| Enumeration Date: | 09/23/2019 |
| Last Updated: | 09/23/2019 |
Provider Practice Location
4201 (201-202) ESTATE RUBY
CHRISTIANSTEAD
VI
00820
Practice Location Phone/Fax
| Phone: | 3407182665 |
| Fax: | 3407182611 |
Provider Mailing Location
25 ANNA SPEAKMAN RD
ELKTON
MD
219212245
Provider Mailing Phone/Fax
| Phone: | 4439455868 |
| Fax: |