| Mrs Brittany Lanell Blough, MSPT | |
|
3767 Fettler Park Dr, Dumfries, VA 22025-1946 | |
| (703) 730-6400 | |
| (703) 730-9212 |
| Full Name | Mrs Brittany Lanell Blough |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 3767 Fettler Park Dr, Dumfries, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336182559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT870308 (District Of Columbia) | Secondary |
| 225100000X | Physical Therapist | 2305209117 (Virginia) | Primary |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20190204002630 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Brittany Lanell Blough, MSPT 3767 Fettler Park Dr, Dumfries, VA 22025-1946 Ph: (703) 730-6400 | Mrs Brittany Lanell Blough, MSPT 3767 Fettler Park Dr, Dumfries, VA 22025-1946 Ph: (703) 730-6400 |
Punith Kumar Shivapura Nanjundaiah, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3600 Pointe Center Ct Ste 110, Dumfries, VA 22026 Phone: 757-523-1790 | |
Robert W Lyman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4214 Fortuna Center Plz, Dumfries, VA 22025 Phone: 571-402-2098 Fax: 434-951-2194 | |
Teonette O Velasco, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3700 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-441-7658 Fax: 703-441-7695 | |
Amanda G Hopkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3700 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-441-7658 | |
Professional Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3767 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-730-6400 | |
Dr. William Glynn Kotulan, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3700 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-441-7500 | |
Mrs. Kathleen Ann Newmeyer, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 Phone: 703-441-7500 |