Provider Demographics
NPI:1598010019
Name:DURDEN, COURTNEY D (OT,CHT,CLT,CERTMDT)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:D
Last Name:DURDEN
Suffix:
Gender:F
Credentials:OT,CHT,CLT,CERTMDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1175 HAYWOOD RD APT 11E
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-2275
Mailing Address - Country:US
Mailing Address - Phone:864-239-5731
Mailing Address - Fax:
Practice Address - Street 1:349 PRADO WAY
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-6512
Practice Address - Country:US
Practice Address - Phone:864-603-2502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-20
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2985225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand