Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 5501011730 | MI |
NPI | 1497256531 |
---|---|
Provider Name | Natalie Brown |
First Address | West Bloomfield, MI 48322-1641 |
Second Address | Farmington, MI 48336-3113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2018 |
Last Update Date | 23/02/2018 |