| NPI | 1952839995 |
|---|---|
| Former Name | COURTNEY MARIE DORRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0014726) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2017018706) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2022-09-06 |