MEDICARE: DR. COURTNEY D WARREN 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
1	225100000X	Physical Therapist	10208	AZ

General Provider Information

NPI Number	:	1407293491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. COURTNEY D WARREN DPT

Provider Business Mailing Address
First Line	:	4558 E LOS ALAMOS ST
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85295-5888
Country	:	US
Telephone Number	:	702-443-1133
Fax Number	:

Provider Business Practice Location Address
First Line	:	3514 N POWER RD STE 133
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85215-2911
Country	:	US
Telephone Number	:	480-625-6693
Fax Number	:	480-304-3269

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2013
Last Update Date	:	01/10/2024

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Directions to “ DR. COURTNEY D WARREN DPT” Practice Location

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