Provider Demographics
NPI:1386068385
Name:ORSO, BRITTA
Entity type:Individual
Prefix:
First Name:BRITTA
Middle Name:
Last Name:ORSO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5290 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-2444
Mailing Address - Country:US
Mailing Address - Phone:931-489-2022
Mailing Address - Fax:931-489-2036
Practice Address - Street 1:1300 HAMPTON AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63139-3163
Practice Address - Country:US
Practice Address - Phone:314-646-8300
Practice Address - Fax:314-646-8302
Is Sole Proprietor?:No
Enumeration Date:2014-02-11
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10121225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist