Provider Demographics
NPI:1801410055
Name:ROCCA, BRITTANY M (PT, DPT)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:M
Last Name:ROCCA
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 1:7 ARNOLD TER
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-1901
Mailing Address - Country:US
Mailing Address - Phone:617-921-5634
Mailing Address - Fax:
Practice Address - Street 1:5 FEDERAL ST
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-5504
Practice Address - Country:US
Practice Address - Phone:978-739-7400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-03
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA24453225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist