Brittsan, Manda Lane

Brittsan, Manda Lane is an sole proprietor health care provider with primary practice located at 1790 Sw 43Rd Way , Fort Lauderdale FL 33317-5701. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Brittsan, Manda Lane can be contacted via phone (855) 442-2454.

Contact Information

Primary practice address
1790 Sw 43Rd Way Fort Lauderdale FL 33317-5701
Phone: (855) 442-2454
Fax: (954) 206-7699
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT007712 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT27119 Florida

Profile Details

NPI number 1790819936
LBN Legal business name Brittsan, Manda Lane
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2007
Last updated Oct 8th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers