Individual
JENNIFER W. BROWDER
Active
Individual
JENNIFER W. BROWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204006
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004979796
—
VA
01
—
1144553983
MEDICAID QMB
VA
01
—
C05954
GROUP MEDICARE PIN
VA
Enumeration date
09/11/2009
Last updated
02/27/2014
Update your record
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