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COURTNEY EARLES DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1386139194

Individual Registrant:
 COURTNEY  EARLES DPT
Gender: F
Sole Proprietor

Location and contact information for practice:
709 W SUPERIOR ST  WAYLAND, MI 49348-1226 US
Tel: 269-792-4440  Fax: --

Contact information for business:
6411 COLLEGE AVE SE  KENTWOOD, MI 49548-6958 US
Tel: 616-717-2191  Fax: --

Registration Information:
NPI: 1386139194
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
MI5501018679

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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