Individual
COURTNEY RENEE NUSSBAUMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR
Contact information
Practice address
355 QUARTERMASTER CT, JEFFERSONVILLE, IN 47130-3670
(812) 258-9802
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2024004243
MO
225X00000X
Occupational Therapist
266631
KY
225X00000X
Occupational Therapist
Primary
31007399A
IN
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
03/26/2021
Last updated
02/06/2024
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