Individual
MARY COURTNEY PURYEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
809 N PATTERSON ST, VALDOSTA, GA 31601-4528
(229) 469-6932
(229) 469-6933
Mailing address
809 N PATTERSON ST, VALDOSTA, GA 31601-4528
(229) 469-6932
(229) 469-6933
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT017265
GA
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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