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Individual

MRS. TASHINA BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
11268 COUNTY ROAD 550, CHILLICOTHE, OH 45601-9789
(740) 773-8044
(740) 773-8052
Mailing address
354 GAY PL, JACKSON, OH 45640-2024
(740) 710-2305

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08565
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08565
OH
Enumeration date
09/07/2014
Last updated
09/07/2014
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