Provider Demographics
NPI:1912275751
Name:CAIN, BRITTANI LENAE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:BRITTANI
Middle Name:LENAE
Last Name:CAIN
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 1:104 AVENUE A
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-4701
Mailing Address - Country:US
Mailing Address - Phone:562-248-9273
Mailing Address - Fax:
Practice Address - Street 1:1912 S PACIFIC COAST HWY
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-6118
Practice Address - Country:US
Practice Address - Phone:310-540-5758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-08
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist