Courtney Boutwell

NPI 1568771699 - Physical Therapist - 225100000X

NPI Details
NPI 1568771699
Gender Female
Enumeration Date 10/07/2010
Last Updated 10/07/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2850 PORTERS CHAPEL RD
VICKSBURG MS, 39180-1805, US
Phone (601) 638-9211
Fax (601) 636-4986
Business Location
2850 PORTERS CHAPEL RD
VICKSBURG MS, 39180-1805, US
Phone (601) 638-9211
Fax (601) 636-4986
Toxanomy
Taxonomy Code 225100000X
License State Mississippi
License Number PT4744
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According to our database, Courtney Boutwell NPI is 1568771699, taxonomy code is 225100000X and license number is PT4744, license state is located at Mississippi. Courtney Boutwell physically located at 2850 Porters Chapel Rd, Vicksburg MS, 39180-1805. NPI Number Courtney Boutwell has the Individual type.

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1568771699 NPI number is provided on an as is basis without warranty of any kind. 1568771699 is maintained by the National Plan & Provider Enumeration System. The contents of Courtney Boutwell are for informational purposes only.