Individual
MRS. COURTNEY IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 922-7105
Mailing address
1400 8TH AVE, FORT WORTH, TX 76104-4110
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
1259907
TX
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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