Courtney Leann Carothers, PTA

NPI #1548601339 in Blanchard, Oklahoma

Provider Information

NPI Number: 1548601339
Entity Type: Individual
Name: Courtney Leann Carothers, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jul 9, 2013
Last Updated: Jul 9, 2013

Practice Location

Address: 2428 RIDGE RUN DR
City: Blanchard
State: Oklahoma
ZIP Code: 73010-9034
Phone: (405) 627-0929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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