Individual
BRITTANY VIDETTO MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1706 MAGNOLIA WAY, AUGUSTA, GA 30909-9481
(706) 210-7529
Mailing address
1706 MAGNOIA WAY, AUGUSTA, GA 30909
(706) 210-7529
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002785
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA002785
GA PTA LICENSE
GA
Enumeration date
07/21/2011
Last updated
05/07/2015
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