MEDICARE: DR. BRITTANY NICOLE DAVIS PT, DPT, ATC

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	PT32108	FL

General Provider Information

NPI Number	:	1134659980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRITTANY NICOLE DAVIS PT, DPT, ATC

Provider Business Mailing Address
First Line	:	6708 CLAIR SHORE DR
Second Line	:
City	:	APOLLO BEACH
State	:	FL
Zip	:	33572-3357
Country	:	US
Telephone Number	:	813-760-1295
Fax Number	:

Provider Business Practice Location Address
First Line	:	6708 CLAIR SHORE DR
Second Line	:
City	:	APOLLO BEACH
State	:	FL
Zip	:	33572-3357
Country	:	US
Telephone Number	:	813-760-1295
Fax Number	:

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

Provider Enumeration Date	:	06/14/2017
Last Update Date	:	06/14/2017

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