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NPI Code Detail

MEDICARE: BRITTANY LEIGH GWIN DPT

MEDICARE: BRITTANY LEIGH GWIN DPT
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
1225100000XPhysical Therapist11759SC

General Provider Information

NPI Number : 1952009839
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY LEIGH GWIN DPT
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number : 864-695-6697
Fax Number :
Provider Business Practice Location Address
First Line : 29 N ACADEMY ST
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2629
Country : US
Telephone Number : 864-695-6697
Fax Number : 864-331-1446
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2023
Last Update Date : 02/09/2026

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