Doctor Name: | MRS. TRINITY D COURTNEY |
NPI Number: | 1104972264 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT2427 |
Business Practice Address: | 1005 Balcom Lane Ascent Children's Health Services Trumann, AR - 72472 |
Business Phone Number: | 8704831461 |
Business Fax Number: | 8704836520 |
Mailing Address: | 1005 Balcom Ln, Ascent Children's Health Services TRUMANN |
State: | AR |
Postal Code: | 72472 |
Phone Number: | 8704831461 |
Fax Number: | 8704836520 |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 04/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | PT2427 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |