Individual
MRS. COURTNEY LYNN O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 816-3052
Mailing address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 816-3052
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00030283-1
NY
2251P0200X
Pediatric Physical Therapist
030283-1
NY
Other
Enumeration date
11/12/2010
Last updated
01/05/2018
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