Individual
JOHN COURTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, PTA
Contact information
Practice address
4140 OLD WASHINGTON RD, WALDORF, MD 20602-3221
(301) 645-2813
Mailing address
4 SOUTHWOOD DR, BUFFALO, NY 14223-1053
(716) 480-2513
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
013082-01
NY
208100000X
Physical Medicine & Rehabilitation Physician
PTA.0015136
CO
208100000X
Physical Medicine & Rehabilitation Physician
PTA31465
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013082-01
PTA LICENSE
NY
01
—
PTA31496
PTA LICENSE
FL
Enumeration date
01/07/2022
Last updated
01/30/2023
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