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Individual

BRITTANY RENEE DEUSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
135 HANBURY RD W STE B, CHESAPEAKE, VA 23322-4291
(757) 819-6512
(757) 819-6517
Mailing address
PO BOX 69030, BALTIMORE, MD 21264-9030
(757) 873-2302
(757) 873-2306

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305207518
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1952656944
MEDICAID QMB
VA
01
C05954
MEDICARE GROUP PTAN
VA
01
P01362155
MEDICARE RR PTAN
VA
Enumeration date
07/17/2012
Last updated
04/16/2018
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