Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT60097476 | WA |
N | 2251S0007X | Physical Therapist - Sports | PT60097476 | WA |
N | 2251X0800X | Physical Therapist - Orthopedic | PT60097476 | WA |
NPI | 1154654119 |
---|---|
Provider Name | Ms. Anna E Brown |
First Address | Edmonds, WA 98020-4134 |
Second Address | Edmonds, WA 98020-4134 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2009 |
Last Update Date | 09/09/2009 |