Provider Demographics
NPI:1518683267
Name:ALBEE, COURTNEY ANNE (PT)
Entity Type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:ANNE
Last Name:ALBEE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:COURTNEY
Other - Middle Name:ANNE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:11825 COOPERS CT
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20191-2303
Mailing Address - Country:US
Mailing Address - Phone:413-454-8005
Mailing Address - Fax:
Practice Address - Street 1:11825 COOPERS CT
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-2303
Practice Address - Country:US
Practice Address - Phone:413-454-8005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-14
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305214878225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist