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NPI Code Detail

MEDICARE: BRITNEY CAWLEY

MEDICARE:   BRITNEY  CAWLEY
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
1225200000XPhysical Therapy Assistant

General Provider Information

NPI Number : 1194451161
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITNEY CAWLEY
Provider Business Mailing Address
First Line : 1317 LOLA AVE
Second Line :
City : ALTAVISTA
State : VA
Zip : 24517-1352
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1317 LOLA AVE
Second Line :
City : ALTAVISTA
State : VA
Zip : 24517-1352
Country : US
Telephone Number : 434-369-6651
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2022
Last Update Date : 08/01/2022

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24517-1352
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1801353040 — STACEY M OWEN LPTA
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1043777295 — HEATHER DAWN ELLIOTT LPTA , CLT
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1316582133 — AUTUMN CARE OF ALTAVISTA, LLC
Practice Location Address:
1317 LOLA AVE
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24517-1352
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Practice Fax: 434-309-7254

Directions to “ BRITNEY CAWLEY ” Practice Location

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