Individual
GREGORY LAMAR BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
3780 SE 55TH CT, OCALA, FL 34480-1339
(352) 694-6962
Mailing address
3780 SE 55TH CT, OCALA, FL 34480-1339
(352) 694-6962
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA9265
FL
Other
Enumeration date
11/27/2012
Last updated
12/13/2012
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