Individual
COURTNEY HOWARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 CRATER LAKE AVE, MEDFORD, OR 97504-6241
(541) 732-5000
Mailing address
1216 MONTGOMERY DR, INVERNESS, MS 38753-9736
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
CP000109A
OR
225200000X
Physical Therapy Assistant
Primary
PTA6230
MS
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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