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Individual

DANIEL COURTENAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
12261 HIGHWAY 49 STE 1, GULFPORT, MS 39503-2976
(228) 860-9676
(228) 860-9676
Mailing address
12261 HIGHWAY 49 STE 1, GULFPORT, MS 39503-2976
(228) 860-9676
(228) 860-9676

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3968
MS

Other

Enumeration date
05/11/2018
Last updated
11/09/2023
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