MEDICARE: DR. BRITTANY L JENNINGS 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
1	225100000X	Physical Therapist	PT009158	GA

General Provider Information

NPI Number	:	1487826582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRITTANY L JENNINGS PT, DPT

Provider Business Mailing Address
First Line	:	1631 RICHWOOD DR NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30319-3605
Country	:	US
Telephone Number	:	678-386-4395
Fax Number	:

Provider Business Practice Location Address
First Line	:	1631 RICHWOOD DR NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30319-3605
Country	:	US
Telephone Number	:	678-386-4395
Fax Number	:

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

Provider Enumeration Date	:	03/28/2008
Last Update Date	:	02/15/2011

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