Provider Demographics
NPI:1962050260
Name:HANSCOM, COURTNEY B (PT, DPT)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:B
Last Name:HANSCOM
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 SUMMERHILL DR
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-8711
Mailing Address - Country:US
Mailing Address - Phone:610-554-2922
Mailing Address - Fax:
Practice Address - Street 1:1106 SUMMERHILL DR
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-8711
Practice Address - Country:US
Practice Address - Phone:610-225-2451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-29
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT027987225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist