Provider Demographics
NPI:1033234034
Name:DENNISON, BRITTANY DANIELLE (DPT)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:DANIELLE
Last Name:DENNISON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:DANIELLE
Other - Last Name:SIONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:2195 HUFFMAN RD
Mailing Address - Street 2:
Mailing Address - City:PURGITSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26852-5201
Mailing Address - Country:US
Mailing Address - Phone:304-359-5543
Mailing Address - Fax:
Practice Address - Street 1:2195 HUFFMAN RD
Practice Address - Street 2:
Practice Address - City:PURGITSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26852-5201
Practice Address - Country:US
Practice Address - Phone:304-359-5543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV3201225100000X, 252Y00000X
WVPTA001281225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
No252Y00000XAgenciesEarly Intervention Provider Agency