Individual
BRITTANY RENAE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1615 CURLEW DR, AMMON, ID 83406-4718
(208) 516-1204
(208) 577-6477
Mailing address
561 WAYSIDE PLZ, LAKE HAVASU CITY, AZ 86403-3830
(951) 756-3745
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6787
ID
225100000X
Physical Therapist
9959
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
736884
—
AZ
Enumeration date
08/07/2012
Last updated
02/13/2020
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