Deatrich, Courtney Gail
Deatrich, Courtney Gail is an sole proprietor health care provider with primary practice located at 250 Harrison Ave , Miller Place NY 11764-3401. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Deatrich, Courtney Gail can be contacted via phone (631) 312-6753.Contact Information
Primary practice address
250 Harrison Ave
Miller Place NY 11764-3401
Phone: (631) 312-6753
Fax: (631) 821-9844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 017666 | New York |
Profile Details
| NPI number | 1912250838 |
|---|---|
| LBN Legal business name | Deatrich, Courtney Gail |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2012 |
| Last updated | Oct 16th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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