Individual
MRS. COURTNEY L MADERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT DPT
Contact information
Practice address
12276 SAN JOSE BLVD STE 508, JACKSONVILLE, FL 32223-8618
(904) 886-3228
(904) 485-8876
Mailing address
12276 SAN JOSE BLVD STE 508, JACKSONVILLE, FL 32223-8618
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT34934
FL
Other
Enumeration date
09/16/2019
Last updated
09/14/2023
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