Basic Information
| Provider Information | |||||||||
| NPI: | 1144696964 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALDERS | ||||||||
| FirstName: | BRITTANY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3450 BLAIR CIR NE | ||||||||
| Address2: | UNIT 1206 | ||||||||
| City: | BROOKHAVEN | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303192241 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6783336803 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3620 HOWELL FERRY RD | ||||||||
| Address2: | |||||||||
| City: | DULUTH | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300963178 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6783126800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/16/2015 | ||||||||
| LastUpdateDate: | 08/16/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 012062 | GA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.