Provider Demographics
NPI:1598072613
Name:BRITT, EMILY TERESE (DPT)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:TERESE
Last Name:BRITT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12266 DEPAUL DRIVE
Mailing Address - Street 2:SUITE 115
Mailing Address - City:BRIDGETON
Mailing Address - State:MO
Mailing Address - Zip Code:63121
Mailing Address - Country:US
Mailing Address - Phone:314-209-7700
Mailing Address - Fax:314-209-7705
Practice Address - Street 1:12266 DEPAUL DRIVE
Practice Address - Street 2:SUITE 115
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044
Practice Address - Country:US
Practice Address - Phone:314-209-7700
Practice Address - Fax:314-209-7705
Is Sole Proprietor?:No
Enumeration Date:2010-09-10
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2007022380225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist