MEDICARE: BRITTANY A HILLS DPT, PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	P19376	NC

General Provider Information

NPI Number	:	1578184099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY A HILLS DPT, PT

Provider Business Mailing Address
First Line	:	7247 GOVERNORS ROW
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-0377
Country	:	US
Telephone Number	:	704-582-3256
Fax Number	:

Provider Business Practice Location Address
First Line	:	8912 BLAKENEY PROFESSIONAL DR STE 100
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-6735
Country	:	US
Telephone Number	:	704-544-5353
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2020
Last Update Date	:	05/06/2020

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