Healthcare Provider Details

I. General information

NPI: 1013645472
Provider Name (Legal Business Name): COURTNEY SAXTON DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2022
Last Update Date: 08/12/2022
Certification Date: 08/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1131 BROAD ST STE 301
SHREWSBURY NJ
07702-4370
US

IV. Provider business mailing address

1131 BROAD ST STE 301
SHREWSBURY NJ
07702-4370
US

V. Phone/Fax

Practice location:
  • Phone: 732-440-1596
  • Fax: 732-440-1597
Mailing address:
  • Phone: 732-440-1596
  • Fax: 732-440-1597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number40QA02109900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: