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General NPI Number Information
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NPI Number | 1760373518
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Entity Type | Individual
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Provider Name | COURTNEY O'CONNELL DPT
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Gender | Female
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 935 SPRING CREEK RD STE 203
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City | CHATTANOOGA
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State | TN
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Zip | 37412-3900
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Country | US
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Telephone | 423-553-5740
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Fax |
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Provider Business Mailing Address
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Address Line | 215 CITYGREEN WAY APT 215
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City | CHATTANOOGA
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State | TN
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Zip | 37405-1489
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Country | US
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Telephone | 770-869-5104
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT017617
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License Number State | GA
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