Provider Demographics
NPI:1710364260
Name:PESCHEL, BRITTANY (PT,DPT)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:PESCHEL
Suffix:
Gender:F
Credentials:PT,DPT
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:OLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5675 26TH AVE S STE 152
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-8975
Mailing Address - Country:US
Mailing Address - Phone:701-866-1059
Mailing Address - Fax:701-532-2270
Practice Address - Street 1:5675 26TH AVE S STE 152
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-8975
Practice Address - Country:US
Practice Address - Phone:701-532-2270
Practice Address - Fax:701-532-0507
Is Sole Proprietor?:No
Enumeration Date:2015-05-05
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist