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Individual
MR. MICHAEL R BROWN
Active
Individual
MR. MICHAEL R BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT-016821-L
PA
225100000X
Physical Therapist
Primary
PT0106821
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001611417
BS
PA
05
—
1009979400008
—
PA
Enumeration date
01/11/2006
Last updated
12/15/2022
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