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NPI Code Detail

MEDICARE: COURTNEY REEDY PTA

MEDICARE: COURTNEY REEDY PTA
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
1225200000XPhysical Therapy AssistantTE013106PA

General Provider Information

NPI Number : 1588300875
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY REEDY PTA
Provider Business Mailing Address
First Line : 91 ROSS LN
Second Line :
City : MOHNTON
State : PA
Zip : 19540-8349
Country : US
Telephone Number : 484-772-9532
Fax Number :
Provider Business Practice Location Address
First Line : 1351 WALNUT RD
Second Line :
City : HONEY BROOK
State : PA
Zip : 19344-1233
Country : US
Telephone Number : 610-273-4304
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2022
Last Update Date : 05/09/2022

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