Individual
GLENN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1255 S STATE ST, SUITE 7, DOVER, DE 19901-6932
(302) 423-0236
Mailing address
71 MCBRY DR, DOVER, DE 19901-4407
(302) 423-0236
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
J10000429
DE
2251G0304X
Geriatric Physical Therapist
J10000429
DE
2251S0007X
Sports Physical Therapist
Primary
J10000429
DE
2251X0800X
Orthopedic Physical Therapist
J10000429
DE
2255A2300X
Athletic Trainer
J3-0000041
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0525769000
AMERIHEALTH
DE
01
—
0525769000
IBC AMERIHEALTH
—
01
—
1114980877
TRICARE
—
05
—
1114980877
—
DE
01
—
146729900
DEPART OF LABOR
DE
01
—
5070-0076
GHMSI
—
01
—
521729459
BLUE CROSS BLUE SHIELD
DE
01
—
88760519
BC MD
—
01
—
CE9861
RAILROAD MEDICARE
DE
Enumeration date
04/11/2006
Last updated
06/20/2014
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