Provider Demographics
NPI:1811592041
Name:MINTER, BRITTANY ANN (DPT)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ANN
Last Name:MINTER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 LAKE BROOK CIR UNIT 108
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-6191
Mailing Address - Country:US
Mailing Address - Phone:407-572-7786
Mailing Address - Fax:
Practice Address - Street 1:1076 E BRANDON BLVD STE 106
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5534
Practice Address - Country:US
Practice Address - Phone:813-413-5513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-04
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT36485225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist