| Doctor Name: | WESLEY LOUIS CODY DUBOSE |
| NPI Number: | 1275941387 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 2305208845 |
| Business Practice Address: | 301 Lavinder St Martinsville, VA - 241123520 |
| Business Phone Number: | 2766325281 |
| Business Fax Number: | 2766326884 |
| Mailing Address: | 1550 Terrys Mountain Rd, MARTINSVILLE |
| State: | VA |
| Postal Code: | 241128299 |
| Phone Number: | 2762249852 |
| Fax Number: | |
| NPI Enumeration Date: | 08/01/2014 |
| NPI Last Update Date: | 08/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2305208845 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |