NPI | 1659491553 |
---|---|
Former Name | CORNELIA COURTNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P5580) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TN 2261) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2023-10-10 |