Provider Demographics
NPI:1225390222
Name:THOMAS, BRITTANY LAUREN (DPT)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:LAUREN
Last Name:THOMAS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 WILLIAM POPE DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29909-7549
Mailing Address - Country:US
Mailing Address - Phone:843-705-9440
Mailing Address - Fax:843-705-9445
Practice Address - Street 1:10 WILLIAM POPE DR
Practice Address - Street 2:SUITE 3
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29909-7549
Practice Address - Country:US
Practice Address - Phone:843-705-9440
Practice Address - Fax:843-705-9445
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT27312225100000X
GA225100000X
SCPT7722225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist