Healthcare Provider Details

I. General information

NPI: 1508642778
Provider Name (Legal Business Name): BRITTNEY CHOW PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2023
Last Update Date: 02/13/2024
Certification Date: 02/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14107 WINCHESTER BLVD STE O
LOS GATOS CA
95032-1836
US

IV. Provider business mailing address

14107 WINCHESTER BLVD STE O
LOS GATOS CA
95032-1836
US

V. Phone/Fax

Practice location:
  • Phone: 408-868-5577
  • Fax:
Mailing address:
  • Phone: 408-868-5577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number304804
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: