Provider Demographics
NPI:1780322537
Name:HELVERSON, BRITTANI NICOLE (DPT)
Entity type:Individual
Prefix:
First Name:BRITTANI
Middle Name:NICOLE
Last Name:HELVERSON
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 1:243 28TH ST
Mailing Address - Street 2:
Mailing Address - City:AVALON
Mailing Address - State:NJ
Mailing Address - Zip Code:08202-1931
Mailing Address - Country:US
Mailing Address - Phone:609-602-6675
Mailing Address - Fax:
Practice Address - Street 1:243 28TH ST
Practice Address - Street 2:
Practice Address - City:AVALON
Practice Address - State:NJ
Practice Address - Zip Code:08202-1931
Practice Address - Country:US
Practice Address - Phone:609-602-6675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-23
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA302024225100000X
NJ40QA02244100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist