Individual
MS. COURTNEY MAUREEN LOFTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
176 3RD AVE, NEW YORK, NY 10003-2520
(800) 321-9999
Mailing address
925 CHESTNUT ST FL 5, PHILADELPHIA, PA 19107-4290
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
RT005682
PA
363A00000X
Physician Assistant
Primary
022970
NY
363A00000X
Physician Assistant
1146529
NY
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/27/2015
Last updated
03/31/2023
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