Provider Demographics
NPI:1609007509
Name:JONES, BRITTANY ANIQUE (DPT)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:ANIQUE
Last Name:JONES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:BRITTANY
Other - Middle Name:ANIQUE
Other - Last Name:FRIDRICH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2271 S DEPOT ST
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-1216
Mailing Address - Country:US
Mailing Address - Phone:805-922-0561
Mailing Address - Fax:805-922-0083
Practice Address - Street 1:2271 S. DEPOT STREET
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455
Practice Address - Country:US
Practice Address - Phone:805-922-0561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT35840225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist