Individual
COURTNEY BLAYNE ATHERTON WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
112 W 4TH ST, JUSTIN, TX 76247-5014
(940) 648-1700
(940) 648-1776
Mailing address
PO BOX 77033, FORT WORTH, TX 76177-0033
(940) 648-1700
(940) 648-1776
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1306647
TX
Other
Enumeration date
12/06/2018
Last updated
07/06/2021
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