Individual
MRS. COURTNEY MARIA MICHELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
7 OLD LANDERS CT, SMITHTOWN, NY 11787-1709
(631) 835-1800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
28356
CA
225100000X
Physical Therapist
62023537
NY
225100000X
Physical Therapist
Primary
6309216-2401
UT
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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