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NPI Code Detail

MEDICARE: DR. BRITTNI NICOLE BLY DPT

MEDICARE: DR. BRITTNI NICOLE BLY 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 TherapistP17708NC

General Provider Information

NPI Number : 1932601101
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRITTNI NICOLE BLY DPT
Provider Business Mailing Address
First Line : 7 OAK BRANCH DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27407-2380
Country : US
Telephone Number : 336-294-0910
Fax Number :
Provider Business Practice Location Address
First Line : 7 OAK BRANCH DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27407-2380
Country : US
Telephone Number : 336-294-0910
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2018
Last Update Date : 06/02/2026

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