Provider Demographics
NPI:1578256590
Name:COURSEN, HALEY (DPT)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:COURSEN
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 1:62 HIGHBRIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-3340
Mailing Address - Country:US
Mailing Address - Phone:609-694-1643
Mailing Address - Fax:
Practice Address - Street 1:10027 W REMINGTON AVE
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-6421
Practice Address - Country:US
Practice Address - Phone:720-922-7553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist