Individual
BRITTANY M DELISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
027524
NY
225100000X
Physical Therapist
Primary
5501019770
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
694693
ACN PROVIDER ID NUMBER
NY
Enumeration date
07/05/2006
Last updated
08/08/2024
Update your record
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