Provider Demographics
NPI:1154160513
Name:WOODWARD, BRITTNEY NICOLE (DPT)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:NICOLE
Last Name:WOODWARD
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:912 13TH ST
Mailing Address - Street 2:
Mailing Address - City:SNYDER
Mailing Address - State:OK
Mailing Address - Zip Code:73566-2818
Mailing Address - Country:US
Mailing Address - Phone:580-318-5222
Mailing Address - Fax:
Practice Address - Street 1:36 W MEMORIAL RD STE C3
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-2312
Practice Address - Country:US
Practice Address - Phone:405-755-3110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6478225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist