Individual
COURTNEY L CHURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
33 SEWALL ST, PORTLAND, ME 04102-2603
(072) 828-2121
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
(207) 956-6676
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4662
ME
Other
Enumeration date
02/17/2017
Last updated
09/07/2021
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