Provider Demographics
NPI:1932601101
Name:WIMBERLEY, BRITTNI NICOLE (DPT)
Entity Type:Individual
Prefix:DR
First Name:BRITTNI
Middle Name:NICOLE
Last Name:WIMBERLEY
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 1:7 OAK BRANCH DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-2380
Mailing Address - Country:US
Mailing Address - Phone:336-294-0910
Mailing Address - Fax:
Practice Address - Street 1:7 OAK BRANCH DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-2380
Practice Address - Country:US
Practice Address - Phone:336-294-0910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-05
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP17708225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist