Individual
COURTNEY M WHITING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.P.T.
Contact information
Practice address
1011 CLIFTON AVE, SUITE 5 2ND FLOOR, CLIFTON, NJ 07013-3518
(973) 778-1134
(973) 614-1530
Mailing address
11 LINCOLN AVE, CLIFTON, NJ 07011-3205
(973) 778-1134
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01208700
NJ
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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