Provider Demographics
NPI:1801406525
Name:BRITTINGHAM, COURTNEY PAIGE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:PAIGE
Last Name:BRITTINGHAM
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10487 LABRADOR LOOP
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20112-2734
Mailing Address - Country:US
Mailing Address - Phone:757-709-3789
Mailing Address - Fax:
Practice Address - Street 1:3695 FETTLER PARK DR
Practice Address - Street 2:
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22025-2049
Practice Address - Country:US
Practice Address - Phone:571-427-4378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305213823225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist