IndividualActive
Heather Cody
NPI 1629445135 · Geriatric Physical Therapist · Bridgeport, CT
Provider details
- NPI number
- 1629445135
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 10588 (CT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4200 Park Ave
Bridgeport, CT 06604-1049
Phone: (203) 396-1136
Approximate (ZIP-level) locationGet directions
Mailing address
175 Jefferson St
Fairfield, CT 06825-1078
Registry dates
- Enumerated
- 2015-09-01
- Last updated
- 2021-01-20
- Certified
- 2021-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.