| NPI | 1508534199 |
|---|---|
| Former Name | COURTNEY MAGOTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 13804) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT015081) |
| 225100000X Physical Therapist (Licence: CO PTL.0016462) | |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2022-08-26 |