MEDICARE: BRITTANY SUDBROOK PT

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	1192818	TX

General Provider Information

NPI Number	:	1366757114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY SUDBROOK PT

Provider Business Mailing Address
First Line	:	5923 BOGIE WAY
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77505-3040
Country	:	US
Telephone Number	:	281-773-8352
Fax Number	:

Provider Business Practice Location Address
First Line	:	1120 NASA PKWY STE 320
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3366
Country	:	US
Telephone Number	:	281-773-8352
Fax Number	:

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

Provider Enumeration Date	:	08/17/2010
Last Update Date	:	01/25/2024

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Directions to “ BRITTANY SUDBROOK PT” Practice Location

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