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Individual
GLENN BROWN
Active
Individual
GLENN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
J10000429
DE
2251G0304X
Geriatric Physical Therapist
J10000429
DE
2251S0007X
Sports Physical Therapist
Primary
J10000429
DE
2251X0800X
Orthopedic Physical Therapist
J10000429
DE
2255A2300X
Athletic Trainer
J3-0000041
DE
Other
Enumeration date
04/11/2006
Last updated
06/20/2014
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