Individual
COURTNEY BAYER ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
9109 ARBOR TRAIL DR, DALLAS, TX 75243-6357
(214) 476-3311
Mailing address
9109 ARBOR TRAIL DR, DALLAS, TX 75243-6357
(214) 476-3311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1206476
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
874T73
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
07/06/2011
Last updated
02/19/2021
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