Dr. Courtney Van Harris, DPT
Community Health Worker in Winston Salem, NC. Individual provider (NPI-1).
NPI number1962775544
StatusActive
Last updated in NPPESFeb 13, 2012
Details
- NPI
- 1962775544
- Entity type
- Individual (NPI-1)
- Name
- Dr. Courtney Van Harris
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 13, 2012
- Last updated
- Feb 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | P12373 | NC | Yes |
Practice location
1100 S Stratford Rd100
Winston Salem, NC 27103-3217
Phone 336-768-7200
Mailing address
402 S Sunset DrWinston Salem, NC 27103-2840
Phone 850-445-4398
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