Provider Demographics
NPI:1538757315
Name:MCGUIRE, COURTNEY SUZANNE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:SUZANNE
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:COURTNEY
Other - Middle Name:SUZANNE
Other - Last Name:HULBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT,DPT
Mailing Address - Street 1:201 LOETSCHER PL APT 309
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-8000
Mailing Address - Country:US
Mailing Address - Phone:571-245-1733
Mailing Address - Fax:
Practice Address - Street 1:53 WALTER ST
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08628-3085
Practice Address - Country:US
Practice Address - Phone:609-883-5391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ4OQA01951200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist