Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | ||
Y | 2251N0400X | Physical Therapist - Neurology | 293310 | CA |
NPI | 1336663012 |
---|---|
Provider Name | Dr. Chelsey Diane Brown |
First Address | Los Angeles, CA 90031-0309 |
Second Address | Los Angeles, CA 90033-1061 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2017 |
Last Update Date | 10/01/2019 |