Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | CERT 1619 | MS |
NPI | 1548272933 |
---|---|
Provider Name | Martha Jean Courier |
First Address | Ocean Springs, MS 39564-4119 |
Second Address | Biloxi, MS 39531-2410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2006 |
Last Update Date | 08/07/2007 |