Provider Demographics
NPI:1215962683
Name:CZERW, BRITTANY CATHERINE (MSPT)
Entity type:Individual
Prefix:MISS
First Name:BRITTANY
Middle Name:CATHERINE
Last Name:CZERW
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:CATHERINE
Other - Last Name:BENNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7901 HENRY AVE
Mailing Address - Street 2:APT C305
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-3060
Mailing Address - Country:US
Mailing Address - Phone:215-482-3723
Mailing Address - Fax:
Practice Address - Street 1:8131 ROOSEVELT BLVD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-3013
Practice Address - Country:US
Practice Address - Phone:215-335-3954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT016414225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist