Individual
COURTNEY BRIANNE DEATHRIAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5225 S LOOP 289 STE 2, LUBBOCK, TX 79424-1363
(806) 780-4180
Mailing address
5220 SPRING VALLEYRD, SUITE 400, DALLAS, TX 75254-2512
(214) 466-1340
(214) 466-1378
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2165554
TX
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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