MEDICARE: BRITTANY C PLUMLEE 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	PT291287	CA

General Provider Information

NPI Number	:	1649622564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY C PLUMLEE DPT

Provider Business Mailing Address
First Line	:	1170 WESTERN AVE
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91201-1808
Country	:	US
Telephone Number	:	818-216-5780
Fax Number	:

Provider Business Practice Location Address
First Line	:	1170 WESTERN AVE
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91201-1808
Country	:	US
Telephone Number	:	818-216-5780
Fax Number	:

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

Provider Enumeration Date	:	07/02/2016
Last Update Date	:	12/21/2021

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