Provider Demographics
NPI:1518535061
Name:WARE, BRITTANY MEREDITH (DPT)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:MEREDITH
Last Name:WARE
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 1:75 CROSS CREEK PKWY APT 9206
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-4457
Mailing Address - Country:US
Mailing Address - Phone:601-467-1397
Mailing Address - Fax:
Practice Address - Street 1:6059 U S HIGHWAY 98 UNIT 50
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-9456
Practice Address - Country:US
Practice Address - Phone:769-235-2884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-11
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist