Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics |
NPI | 1063022523 |
---|---|
Provider Name | Courtney J Jeffries |
First Address | Morrisville, NC 27560-5641 |
Second Address | Durham, NC 27705-4504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2020 |
Last Update Date | 08/08/2020 |