Provider Demographics
NPI:1215331954
Name:KAMHOLTZ, BRITTANY (PT)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:KAMHOLTZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:TINCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1800 MAIN ST W
Mailing Address - Street 2:
Mailing Address - City:LOCUST
Mailing Address - State:NC
Mailing Address - Zip Code:28097-7700
Mailing Address - Country:US
Mailing Address - Phone:212-305-9915
Mailing Address - Fax:
Practice Address - Street 1:1800 MAIN ST W
Practice Address - Street 2:
Practice Address - City:LOCUST
Practice Address - State:NC
Practice Address - Zip Code:28097-7700
Practice Address - Country:US
Practice Address - Phone:407-419-7090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-09
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP17595208100000X
NY62035133225100000X
NC17595225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation