Provider Demographics
NPI:1285816876
Name:GUTTMANN, BRIAN CHRISTOPHER (PT)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:CHRISTOPHER
Last Name:GUTTMANN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 30010
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-1010
Mailing Address - Country:US
Mailing Address - Phone:850-479-3320
Mailing Address - Fax:850-479-8789
Practice Address - Street 1:9400 UNIVERSITY PKWY
Practice Address - Street 2:SUITE 309
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-5752
Practice Address - Country:US
Practice Address - Phone:850-479-3320
Practice Address - Fax:850-479-8789
Is Sole Proprietor?:No
Enumeration Date:2007-12-05
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT21004225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL890024590Medicaid
FLY118TOtherBCBS OF FLORIDA
FLAH778ZMedicare PIN