Provider Demographics
NPI:1871912592
Name:VAN HAL, BRITTANY (DPT)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:VAN HAL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:725 N STANLEY ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:MEDICAL LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99022-8939
Mailing Address - Country:US
Mailing Address - Phone:509-299-7379
Mailing Address - Fax:509-299-7307
Practice Address - Street 1:18151 68TH AVE NE STE 100
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:WA
Practice Address - Zip Code:98028-2835
Practice Address - Country:US
Practice Address - Phone:425-686-6760
Practice Address - Fax:425-686-6763
Is Sole Proprietor?:No
Enumeration Date:2014-04-09
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60428076225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist