Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist |
NPI | 1851499636 |
---|---|
Provider Name | Mrs. Deborah Brown Brown |
First Address | Shorter, AL 36075-4006 |
Second Address | Tuskegee, AL 36083-5001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 08/07/2007 |