Individual
COURTNEY TARGET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
928 JAYMOR RD STE C-150, SOUTHAMPTON, PA 18966-3832
(215) 330-4116
Mailing address
928 JAYMOR RD STE C-150, SOUTHAMPTON, PA 18966-3832
(215) 330-4116
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC018760
PA
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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