Individual
MISS COURTNEY ANNE BUMGARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3300 RIVERMONT AVE, LYNCHBURG, VA 24503-2030
(434) 200-4668
Mailing address
801 WYNDHURST DR, LYNCHBURG, VA 24502-2550
(434) 944-0801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305207124
VA
Other
Enumeration date
02/15/2012
Last updated
09/27/2013
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