Individual
COURTNEY FACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1401 BRYANT WILLIAMS DR, KLAMATH FALLS, OR 97601-7151
(541) 882-6691
Mailing address
1401 BRYANT WILLIAMS DR, KLAMATH FALLS, OR 97601-7151
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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