| NPI | 1649790767 |
|---|---|
| Former Name | COURTNEY LYNN FLANAGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT015329) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 551018227) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2024-10-29 |