Individual
MRS. ALLISON BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
229 HARRISON AVE, PANAMA CITY, FL 32401
(850) 774-5412
Mailing address
2600 WILLOW BROOK DR, PANAMA CITY, FL 32404
(850) 747-9949
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA44197
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C4033
BLUE CROSS PROVIDER
FL
Enumeration date
11/17/2006
Last updated
07/08/2007
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