Provider Demographics
NPI:1033234034
Name:DENNISON, BRITTANY DANIELLE (DPT)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:DANIELLE
Last Name:DENNISON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:DANIELLE
Other - Last Name:SIONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:213 E BRIGHTON AVE
Mailing Address - Street 2:
Mailing Address - City:MOOREFIELD
Mailing Address - State:WV
Mailing Address - Zip Code:26836-1205
Mailing Address - Country:US
Mailing Address - Phone:540-771-0870
Mailing Address - Fax:
Practice Address - Street 1:213 E BRIGHTON AVE
Practice Address - Street 2:
Practice Address - City:MOOREFIELD
Practice Address - State:WV
Practice Address - Zip Code:26836-1205
Practice Address - Country:US
Practice Address - Phone:540-771-0870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV3201225100000X
WVPTA001281225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant