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NPI Code Detail

MEDICARE: HANNAH PATRICE BRIGGER PT, DPT

MEDICARE: HANNAH PATRICE BRIGGER PT, 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 Therapist17684CO

General Provider Information

NPI Number : 1255908901
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH PATRICE BRIGGER PT, DPT
Provider Business Mailing Address
First Line : 15756 JACKSON CREEK PKWY
Second Line :
City : MONUMENT
State : CO
Zip : 80132-7183
Country : US
Telephone Number : 719-481-0899
Fax Number : 719-481-0897
Provider Business Practice Location Address
First Line : 15756 JACKSON CREEK PKWY
Second Line :
City : MONUMENT
State : CO
Zip : 80132-7183
Country : US
Telephone Number : 719-481-0899
Fax Number : 719-481-0897
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2021
Last Update Date : 06/09/2021

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