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Individual
STEFANIE M. BROWN
Active
Individual
STEFANIE M. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305210800
VA
225100000X
Physical Therapist
25323
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255875084
—
VA
01
—
C05954
GROUP MEDICARE PTAN
VA
01
—
Q55787A
INDIVIDUAL MEDICARE PTAN
VA
Enumeration date
12/13/2016
Last updated
04/13/2018
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