Individual
COURTNEY MAE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1103 S STATE ST, CHICAGO, IL 60605-2733
(312) 877-5101
(312) 877-5906
Mailing address
PO BOX 220, WESTMONT, IL 60559-0220
(708) 590-6663
(708) 469-4100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070027712
IL
Other
Enumeration date
09/11/2023
Last updated
09/12/2023
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