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1265801229
COURTNEY HEAVNER
BALTIMORE, MD
NPI
1265801229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MD A3613)
Enumeration Date
2015-09-21
Last Update Date
2019-01-14
Business Address
COURTNEY HEAVNER
2200 KERNAN DR
BALTIMORE, MD 21207-6665
Phone number: 410-448-6323
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Mailing Address
COURTNEY HEAVNER
2200 KERNAN DR
BALTIMORE, MD 21207-6665
Phone number:
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