Individual
COURTNEY SUPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
111 17TH AVE E, ALEXANDRIA, MN 56308-5273
(320) 762-1511
(320) 762-6857
Mailing address
111 17TH AVE E, ALEXANDRIA, MN 56308-5273
(320) 762-1511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12359
MN
225100000X
Physical Therapist
2603
ND
Other
Enumeration date
09/09/2021
Last updated
11/17/2023
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