Individual
COURTNEY JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 N GROSS RD STE 125, KINGSLAND, GA 31548-6263
(912) 342-8875
(912) 342-8016
Mailing address
4212 CORAL PARK DR, BRUNSWICK, GA 31520-3016
(912) 342-8875
(912) 342-8016
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA001480
GA
224Z00000X
Occupational Therapy Assistant
OTA15209
FL
225X00000X
Occupational Therapist
Primary
OT008041
GA
225XP0200X
Pediatric Occupational Therapist
OT008041
GA
Other
Enumeration date
02/03/2021
Last updated
04/13/2021
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