Individual
COURTNEY ELLEN CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
653 MYRTLE DR., COVINGTON, LA 70433
(985) 893-4700
(985) 893-3211
Mailing address
653 MYRTLE DR., COVINGTON, LA 70433
(985) 893-4700
(985) 893-3211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11722R
LA
225100000X
Physical Therapist
—
—
Other
Enumeration date
03/02/2023
Last updated
05/15/2024
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