Individual
ELLEN M COURTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11230 ROBERT CARTER RD, FAIRFAX STATION, VA 22039-1315
(703) 250-0527
Mailing address
11230 ROBERT CARTER RD, FAIRFAX STATION, VA 22039-1315
(703) 250-0527
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305003221
VA
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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