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Individual

COURTNEY MERLE DEWBRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
908 N ROCKFORD RD, SUITE C, ARDMORE, OK 73401-2540
(580) 490-3318
(580) 490-3312
Mailing address
908 N ROCKFORD RD, SUITE C, ARDMORE, OK 73401-2540
(580) 490-3318
(580) 490-3312

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
4555
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200425070A
OK
Enumeration date
05/04/2010
Last updated
02/02/2017
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