Individual
CORTNEY GREENWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 WOODBURY TURNERSVILLE RD, BLACKWOOD, NJ 08012-2960
(856) 374-6754
Mailing address
601 HARWOOD CT, MOUNT LAUREL, NJ 08054-2606
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1012/00436/TR/R
NJ
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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