Provider Demographics
NPI:1467146563
Name:BIEBER, COURTLYN (DPT)
Entity Type:Individual
Prefix:
First Name:COURTLYN
Middle Name:
Last Name:BIEBER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 98
Mailing Address - Street 2:
Mailing Address - City:MAMOU
Mailing Address - State:LA
Mailing Address - Zip Code:70554-0098
Mailing Address - Country:US
Mailing Address - Phone:337-831-8001
Mailing Address - Fax:337-468-4692
Practice Address - Street 1:1003 6TH ST
Practice Address - Street 2:
Practice Address - City:MAMOU
Practice Address - State:LA
Practice Address - Zip Code:70554-3123
Practice Address - Country:US
Practice Address - Phone:337-831-8001
Practice Address - Fax:337-468-4692
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist