Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 1156556 | TX |
NPI | 1164975231 |
---|---|
Provider Name | Ashlee Davidson Britting |
First Address | Fort Worth, TX 76116-5423 |
Second Address | Fort Worth, TX 76126-6467 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2016 |
Last Update Date | 10/08/2020 |