Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | PT030150 | PA |
NPI | 1023762085 |
---|---|
Provider Name | Dr. Christina Marie Brown |
First Address | Erie, PA 16509-3878 |
Second Address | Erie, PA 16509-3656 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2022 |
Last Update Date | 09/02/2022 |