Provider Demographics
NPI:1023665627
Name:WOJTKIEWICZ, BRITTANY (PTA)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:WOJTKIEWICZ
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 CROSSPOINTE DR STE 1
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-0918
Mailing Address - Country:US
Mailing Address - Phone:239-231-1414
Mailing Address - Fax:239-231-1418
Practice Address - Street 1:1020 CROSSPOINTE DR STE 1
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-0918
Practice Address - Country:US
Practice Address - Phone:239-231-1414
Practice Address - Fax:239-231-1418
Is Sole Proprietor?:No
Enumeration Date:2019-08-20
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA29682225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant