Provider Demographics
NPI:1033887880
Name:GREGORY, BRITTANY (DPT)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:
Last Name:GREGORY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:VON OLDENBURG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:491 MAIN ST STE C
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:MA
Mailing Address - Zip Code:01450-4255
Mailing Address - Country:US
Mailing Address - Phone:512-924-1329
Mailing Address - Fax:
Practice Address - Street 1:491 MAIN ST STE C
Practice Address - Street 2:
Practice Address - City:GROTON
Practice Address - State:MA
Practice Address - Zip Code:01450-4255
Practice Address - Country:US
Practice Address - Phone:512-924-1329
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-04
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1339326225100000X
MA25205225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist