Provider Demographics
NPI:1033958517
Name:POORE, BRITTNEY LYNN (LPTA)
Entity type:Individual
Prefix:MISS
First Name:BRITTNEY
Middle Name:LYNN
Last Name:POORE
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 LEIGHTON AVE. STE B
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207
Mailing Address - Country:US
Mailing Address - Phone:256-235-2524
Mailing Address - Fax:256-236-2573
Practice Address - Street 1:626 LEIGHTON AVE
Practice Address - Street 2:SUITE B
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207
Practice Address - Country:US
Practice Address - Phone:256-235-2524
Practice Address - Fax:256-236-2573
Is Sole Proprietor?:No
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTA11786225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant