Healthcare Provider Details

I. General information

NPI: 1811472871
Provider Name (Legal Business Name): BRITTANY LYNN OAKES PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2018
Last Update Date: 09/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12617 RIDGELINE BLVD
CEDAR PARK TX
78613-1606
US

IV. Provider business mailing address

17848 PARK VALLEY DR
ROUND ROCK TX
78681-3506
US

V. Phone/Fax

Practice location:
  • Phone: 512-996-0441
  • Fax: 512-996-0442
Mailing address:
  • Phone: 512-626-6772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1292020
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: