Individual
COURTNEY MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD, SUITE 774, PORT ORANGE, FL 32128-8311
(888) 265-2680
Mailing address
5535 S WILLIAMSON BLVD, SUITE 774, PORT ORANGE, FL 32128-8311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16150
CA
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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