Individual
BRITTANY LABRECQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 VONDERBURG DR, SUITE 201, BRANDON, FL 33511-5900
(813) 653-1149
(813) 654-6644
Mailing address
602 VONDERBURG DR, SUITE 201, BRANDON, FL 33511-5900
(813) 653-1149
(813) 654-6644
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
SA12203
FL
235Z00000X
Speech-Language Pathologist
Primary
SA12203
FL
235Z00000X
Speech-Language Pathologist
SZ5687
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004474300
—
FL
05
—
010947700
—
FL
Enumeration date
01/10/2012
Last updated
05/13/2014
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