Provider Demographics
NPI:1285806588
Name:NEUPERT, COURTNEY (PT)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:NEUPERT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 W WEAVER ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-2084
Mailing Address - Country:US
Mailing Address - Phone:919-942-0240
Mailing Address - Fax:919-942-0280
Practice Address - Street 1:304 W WEAVER ST
Practice Address - Street 2:SUITE 103
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-2084
Practice Address - Country:US
Practice Address - Phone:919-942-0240
Practice Address - Fax:919-942-0280
Is Sole Proprietor?:No
Enumeration Date:2008-03-26
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC93912251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic