Courtney Boutwell
NPI #1568771699 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1568771699
- Entity Type
- Individual
- Name
- Courtney Boutwell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Oct 7, 2010
- Last Updated
- Oct 7, 2010
Practice Location
- Address
- 2850 PORTERS CHAPEL RD
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-1805
- Phone
- (601) 638-9211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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