Individual
COURTNEY SUE TAGGART
Active
Individual
COURTNEY SUE TAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
14539
NC
225100000X
Physical Therapist
Primary
PT022828
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102984905 0005
—
PA
01
—
848H
BCBS
NC
Enumeration date
08/28/2013
Last updated
10/28/2015
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