Courtney Cornwall
Courtney Cornwall is an Occupational Therapist in Private Practice in Port Huron, Michigan. Qualified in 2017, 9 years ago. Practices with St Clair County Community Mental Health Authority, a 53-clinician group and accepts Medicare assignment.
- Years since qualifying
- 9
- In the registry since
- 2022
Practice location Address checks out
3111 Electric AvePort Huron, MI 48060-8127
Phone: (810) 985-8900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X |
|---|
Record details
| NPI number | 1306596457 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 23, 2022 |
| Last updated in NPPES | March 23, 2022 |
| Certification date | March 23, 2022 |
| Mailing address | 3111 Electric Ave, Port Huron, MI 48060-8127 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | St Clair County Community Mental Health Authority — 53 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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