Doctor Name: | MS. BRITTANY JOY DECROES |
NPI Number: | 1023311750 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | |
Business Practice Address: | 801 N Broadway Baltimore, MD - 212051424 |
Business Phone Number: | 4439239200 |
Business Fax Number: | |
Mailing Address: | 2510a N Fairfax Dr, ARLINGTON |
State: | VA |
Postal Code: | 222012852 |
Phone Number: | 7038513127 |
Fax Number: | |
NPI Enumeration Date: | 12/20/2010 |
NPI Last Update Date: | 06/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |