Individual
MISS CORTNEY BRIANNA GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7407 WILLOW RD, FREDERICK, MD 21702-2500
(301) 644-5600
(301) 202-9363
Mailing address
855 MULBERRY AVE APT 3S, HAGERSTOWN, MD 21742-3976
(240) 469-8023
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4365
MD
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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