Individual
COURTNEY ALICIA MARIE SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10299 WOODMAN RD, GLEN ALLEN, VA 23060-4419
(804) 727-8500
(804) 727-8580
Mailing address
10299 WOODMAN RD, GLEN ALLEN, VA 23060-4419
(804) 727-8500
(804) 727-8580
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305201828
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193962
ANTHEM
VA
01
—
4978544
VIRGINIA PREMIER
VA
Enumeration date
02/21/2007
Last updated
07/08/2007
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