Individual
COURTNEY ANN BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
30 BROAD ST # STREETA, NEW YORK, NY 10004-2304
(646) 790-7454
(212) 379-2076
Mailing address
307 5TH AVE FL 6, NEW YORK, NY 10016-6575
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
044480-01
NY
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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