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Individual

EMILY SARAH BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT, OCS

Contact information

Practice address
8827 N GOVERNMENT WAY, HAYDEN, ID 83835-8231
(307) 699-1716
Mailing address
PO BOX 397, HAYDEN, ID 83835-0397
(307) 699-1716

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10851659-2401
UT
2251X0800X
Orthopedic Physical Therapist
Primary
PT-5481
ID

Other

Enumeration date
06/14/2018
Last updated
04/30/2023
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