Individual
ANASTASIA SOPHIA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2001 4TH AVE, SAN DIEGO, CA 92101-2303
(619) 466-1730
Mailing address
2001 4TH AVE, SAN DIEGO, CA 92101-2303
(619) 466-1730
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT29191
CA
Other
Enumeration date
12/13/2005
Last updated
09/04/2008
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