Provider Demographics
NPI:1710310040
Name:MORDARSKI, BRITTANY G (DPT)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:G
Last Name:MORDARSKI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:K
Other - Last Name:GUERRERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1 CREDIT UNION WAY FL 3
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-4633
Mailing Address - Country:US
Mailing Address - Phone:781-961-3370
Mailing Address - Fax:781-961-3370
Practice Address - Street 1:35 YMCA DR
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-4005
Practice Address - Country:US
Practice Address - Phone:781-679-2003
Practice Address - Fax:978-746-8718
Is Sole Proprietor?:No
Enumeration Date:2013-08-09
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA20573225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA20573OtherMA PT LICENSE NUMBER