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NPI Code Detail

MEDICARE: MISS COURTNEY E NASS DPT

MEDICARE: MISS COURTNEY E NASS DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical TherapistPT022200PA

General Provider Information

NPI Number : 1336495860
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS COURTNEY E NASS DPT
Provider Business Mailing Address
First Line : 120 W GERMANTOWN PIKE
Second Line : SUITE 100
City : PLYMOUTH MEETING
State : PA
Zip : 19462-1420
Country : US
Telephone Number : 610-270-0370
Fax Number : 610-270-0374
Provider Business Practice Location Address
First Line : 9337 KREWSTOWN RD
Second Line : SUITE 39
City : PHILADELPHIA
State : PA
Zip : 19115-3710
Country : US
Telephone Number : 215-676-6760
Fax Number : 215-676-3746
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2012
Last Update Date : 08/02/2012

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Directions to “ MISS COURTNEY E NASS DPT” Practice Location

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