Provider Demographics
NPI:1275391641
Name:OWEN, BRITTANY M (PTA, BSKIN)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:M
Last Name:OWEN
Suffix:
Gender:F
Credentials:PTA, BSKIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10621 RACINE ST
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-6635
Mailing Address - Country:US
Mailing Address - Phone:409-284-6025
Mailing Address - Fax:
Practice Address - Street 1:6900 E 47TH AVENUE DR STE 150
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80216-3401
Practice Address - Country:US
Practice Address - Phone:303-920-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTA.0013406225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant