Individual
COURTNEY MACKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3010 W LAKE RD, ERIE, PA 16505-3849
(814) 833-2385
Mailing address
5304 HEIDT AVE, ERIE, PA 16509-3031
(814) 460-7005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT025741
PA
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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