Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 2843 | OR |
NPI | 1073668901 |
---|---|
Provider Name | Ms. Marci Erin Ulrey Cody |
First Address | Eugene, OR 97401 |
Second Address | Eugene, OR 97401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2007 |
Last Update Date | 04/04/2011 |