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Individual
MS. JENNIFER M BROWN
Active
Individual
MS. JENNIFER M BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT DPT GCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009786L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231419YF1Q
MEDICARE PTAN
PA
Enumeration date
08/12/2009
Last updated
08/05/2021
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