Provider Demographics
NPI:1659031821
Name:GULLING, BRITTANY (PT, DPT)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:GULLING
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 791217
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21279-6063
Mailing Address - Country:US
Mailing Address - Phone:301-932-4785
Mailing Address - Fax:301-932-4789
Practice Address - Street 1:616 GARRISONVILLE RD
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-3707
Practice Address - Country:US
Practice Address - Phone:540-628-4612
Practice Address - Fax:540-628-4615
Is Sole Proprietor?:No
Enumeration Date:2021-12-29
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA301502225100000X
VA2305215641225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist