Individual
STEVEN ALLEN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
327 S 20TH ST, PAYETTE, ID 83661-3033
(208) 453-1522
(208) 453-1591
Mailing address
311 CARTER ST APT 213, NASHVILLE, TN 37210-5355
(208) 600-9013
(208) 600-9013
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7943
TN
225200000X
Physical Therapy Assistant
8620
OR
225200000X
Physical Therapy Assistant
PTA-179
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA-179
IDAHO LICENSE NUMBER
ID
01
—
PTA-8620
STATE OF OREGON
OR
Enumeration date
05/19/2008
Last updated
09/17/2021
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